BRIAN GOMES (NPI# 1669972444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669972444 |
| Entity Type | Individual |
| Full Name | BRIAN GOMES |
| Credential | APRN |
| Practice Address |
30 Jordan Ln Wethersfield CT 06109 |
| Mailing Address |
291 Goff Rd Wethersfield CT 06109-2406 |
| Practice Telephone | 8602630263 |
| Practice Fax Number | 8602630267 |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7467 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE OF CONNECTICUT | 7467 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 291 Goff Rd, Wethersfield, CT 061092406 | 8608199366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134997 | Brian Steven Gomes | Developmental Therapist | 555 Amory St Ste 5, Jamaica Plain, MA 02130-2672 | 2018-05-18 |
| Street Address |
30 JORDAN LN |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730166422 | Wayne Christopher Paulekas | Internal Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2005-12-23 |
| 1588977540 | Right At Home In Homecare & Assistance | Home Health | 30 Jordan Ln, 3rd Floor, Wethersfield, CT 06109-1278 | 2010-07-20 |
| 1558531996 | Deborah Ann Broadley | Nurse Practitioner | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2008-02-29 |
| 1184819302 | Prime Healthcare, PC | Internal Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2007-09-11 |
| 1184832354 | Prime Healthcare (sleep Lab) | Clinic/Center | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2007-05-19 |
| 1508089244 | Amarillys Rodriguez | Family Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2007-04-11 |
| 1659344174 | Katherine Thomsen | Nurse Practitioner | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2006-02-08 |
| 1073584801 | Robert Reginio | Internal Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2006-01-30 |
| 1912984618 | Frederick Pope | Internal Medicine | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1659806404 | Lauren M Mcgrath | Physical Therapist | 672 Silas Deane Highway, Wethersfield, CT 06109 | 2017-04-28 |
| 1851824858 | A Plus Senior Home Care LLC | In Home Supportive Care | 183 Clearfield Rd, Wethersfield, CT 06109 | 2017-04-06 |
| 1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
| 1629455910 | Melanie Anne Parker | Physical Therapist | 850 Silas Deane Hwy #2, Wethersfield, CT 06109 | 2015-05-06 |
| 1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1285925651 | Steven Warren Young | Pharmacist | 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 | 2011-04-20 |
| Find all providers in zip 06109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720510472 | Joel E Burns | Nurse Practitioner | 3 Lexington St, Wethersfield, CT 06109-1229 | 2017-03-31 |
| 1558730630 | Daniela La Rosa | Nurse Practitioner | 18 Ridgewood Cir, Wethersfield, Wethersfield, CT 06109-2706 | 2015-09-18 |
| 1871925487 | Monica Marie Backiel | Nurse Practitioner | 1283 Silas Deane Hwy, Wethersfield, CT 06109-4302 | 2013-08-06 |
| 1093359119 | Katie Vigil | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 2019-10-31 |
| 1144880899 | Keri Collard | Nurse Practitioner | 1283 Silas Deane Hwy, Wethersfield, CT 06109-4302 | 2019-06-15 |
| 1558853515 | Elizabeth Susan Doty | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | 2018-06-05 |
| 1962893669 | Chidiebere Onyishi | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 2015-02-17 |
| 1740692789 | Caroline St Clair | Nurse Practitioner | 146 Main St, Wethersfield, CT 06109-3126 | 2014-05-26 |
| 1558531996 | Deborah Ann Broadley | Nurse Practitioner | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2008-02-29 |
| 1134274921 | Josephine Contrino Md, LLC | Nurse Practitioner | 78 Beaver Rd, Suite 1a, Wethersfield, CT 06109-2295 | 2007-01-24 |
| Find all providers in WETHERSFIELD | ||||
| City | WETHERSFIELD |
| Zip Code | 06109 |
Please comment or provide details below to improve the information on BRIAN GOMES.
| 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.