DOUGLAS BRYLLE (NPI# 1700329430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700329430 |
| Entity Type | Individual |
| Full Name | DOUGLAS BRYLLE |
| Practice Address |
1320 W Main St Waterbury CT 06708-3119 |
| Mailing Address |
7 Rosewood Dr Plainville CT 06062-1055 |
| Practice Telephone | 2035739518 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | 018070 | CT | Emergency Medical Service Providers |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
001121 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1320 W MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291829 | Kaitland Ard | Physician Assistant | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-12-04 |
| 1437790151 | Villacis Eyecare LLC | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-10-03 |
| 1336796655 | Jennifer Paige Howell | Nurse Practitioner | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-08-21 |
| 1942721733 | New Insight Family Eye Care | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2017-06-30 |
| 1609248061 | Sara Steinagel | Occupational Therapist | 1320 W Main St, Waterbury, CT 06708-3119 | 2015-10-26 |
| 1386985901 | Kristen T Deely | Occupational Therapist | 1320 W Main St, Waterbury, CT 06708-3119 | 2013-03-06 |
| 1477832806 | Salman Khalid | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-08-16 |
| 1316241466 | New Insight Family Eyecare | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-01-04 |
| 1467755900 | Pain & Spine Specialists of Connecticut, LLC | Specialist | 1320 W Main St, Bldg 2, Waterbury, CT 06708-3119 | 2010-12-06 |
| 1205154903 | Neurosurgery, Orthopaedics & Spine Specialists, PC | Orthopaedic Surgery | 1320 W Main St, Waterbury, CT 06708-3119 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881184109 | Kathryn Marie Malatestinic | Physical Medicine & Rehabilitation | 1500 Lexington Blvd, Bethel, CT 06801-1338 | 2018-05-11 |
| 1932614450 | Connecticut Orthopaedic Specialists, PC | Physical Medicine & Rehabilitation | 1055 Post Rd Ste 4, Fairfield, CT 06824-6019 | 2017-12-06 |
| 1255660817 | Fairfield Sports and Spine LLC | Physical Medicine & Rehabilitation | 650 Clinton Ave, Second Floor, Bridgeport, CT 06605-1704 | 2009-12-10 |
| 1427125558 | Bertacchi & Associates, PC | Physical Medicine & Rehabilitation | 276 High Ridge Rd, Stamford, CT 06905-3013 | 2006-11-30 |
| 1699374074 | Ashleigh Persico | Physical Medicine & Rehabilitation | 130 Maple St, Seymour, CT 06483-3638 | 2020-10-18 |
| 1568078764 | Sydney Marie Judkins | Physical Medicine & Rehabilitation | 1055 Post Rd, Fairfield, CT 06824-6019 | 2020-09-22 |
| 1255785556 | Stephen Massimi Md PC | Physical Medicine & Rehabilitation | 1 Blachley Rd, Stamford, CT 06902-0002 | 2016-04-22 |
| 1811354053 | Shannon Webb | Physical Medicine & Rehabilitation | 1 Bradley Rd, Ste 801, Woodbridge, CT 06525-2285 | 2016-01-19 |
| 1578937579 | Integrative Medical Solutions, PC | Physical Medicine & Rehabilitation | 999 Summer St, Suite 205, Stamford, CT 06905-5546 | 2015-11-15 |
| 1285036186 | Orthoconnecticut, PC | Physical Medicine & Rehabilitation | 36 Old Kings Hwy S, Darien, CT 06820-4552 | 2014-09-23 |
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| 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.