CARLY BRUEGGESTRAT


Address: 7365 Main St, Stratford, CT 06614-1300
Phone: 2033843174

CARLY BRUEGGESTRAT (NPI# 1871814509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871814509
Entity Type Individual
Full Name CARLY BRUEGGESTRAT
Credential CRNA
Practice Address 7365 Main St
Stratford
CT 06614-1300
Practice Telephone 2033843174
Practice Fax Number 2033844619
Mailing Telephone 2033843174
Mailing Fax Number 2033844619
Enumeration Date 2010-06-16
Last Update Date 2010-10-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 074163 CT Nursing Service Providers
Y 367H00000X Anesthesiologist Assistant 0044440 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7365 MAIN ST
City STRATFORD
State CT
Zip Code 06614-1300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528059623 Frank Anthony Jordano Jr. Pharmacist 7365 Main St, Stratford, CT 06614-1300 2005-10-30
1043666373 Oronoque Apothecary LLC Pharmacy 7365 Main St, Stratford, CT 06614-1300 2016-05-05
1366804205 Oronoque Pharmacy PACE Provider Organization 7365 Main St, Stratford, CT 06614-1300 2016-03-21
1124379151 Dustin F Rabine Pp LLC Dentist 7365 Main St, Stratford, CT 06614-1300 2012-10-01
1629336946 Ling Chow Registered Nurse 7365 Main St, Suite 310, Stratford, CT 06614-1300 2012-04-24
1285911594 True Health Family Chiropractic LLC Chiropractor 7365 Main St, Unit 13, Stratford, CT 06614-1300 2011-11-15
1558682237 Michelle Keizerweerd Registered Nurse 7365 Main St, Suite 310, Stratford, CT 06614-1300 2010-06-17
1811217292 Josh A Yoffe Registered Nurse 7365 Main St, Suite 310, Stratford, CT 06614-1300 2010-06-08
1629398177 Nicole E Gipp Registered Nurse 7365 Main St, Suite 310, Stratford, CT 06614-1300 2010-06-07
1093995979 Meghan Leary Nurse Anesthetist, Certified Registered 7365 Main St, Suite 310, Stratford, CT 06614-1300 2007-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588139604 David A Crosby Physician Assistant 125 Pumpkin Ground Road, Stratford, CT 06614 2018-10-04
1710489232 Karen Marie Laconte Naturopath 720 Hilltop Dr, Stratford, CT 06614 2018-02-28
1972024693 Amanda Wilson Social Worker 60 Edmund Street, Stratford, CT 06614 2017-07-03
1558801423 Kristine Lynn Conlan Physical Therapist 55 Pasadena Ave., Stratford, CT 06614 2017-02-27
1811440258 Seokwon Kwon Dentist 320 Boston Ave, Stratford, CT 06614 2016-08-02
1093176141 Kathleen G Domek Technician/Technologist 150 Barnum Avenue Cut Off, Stratford, CT 06614 2016-03-17
1417328634 Kelley Machado Social Worker 2127 Nichols Ave, Stratford, CT 06614 2015-10-14
1043629553 Jennifer Woods-mesquita Social Worker 125 Greenlawn Ave, Stratford, CT 06614 2014-08-08
1437564010 Jose R. Pacheco Obstetrics & Gynecology 120 Brightwood Ave, Stratford, CT 06614 2014-06-23
1740612829 Stanley Brovender General Practice 773b Pontiac Lane, Stratford, CT 06614 2013-07-31
Find all providers in zip 06614

Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215106711 Sara Titus Anesthesiologist Assistant 2800 Main St, Saint Vincents Medical Center, Bridgeport, CT 06606-4201 2008-02-28
1447282124 Elizabeth Ann Kolthay Anesthesiologist Assistant 24 Hospital Ave, Danbury, CT 06810-6099 2006-07-06

Competitor

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City STRATFORD
Zip Code 06614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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