Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beaver Pond Brook Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1386173201

Beaver Pond Brook Emergency Physicians LLC is an Emergency Medicine Physician in Waterbury, Connecticut. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3081 E Main St
Waterbury, CT 06705-3424
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1386173201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Harris — Officer · (469) 401-2386
NPI enumeratedJune 5, 2017
Last updated in NPPESJune 5, 2017
Mailing address13737 Noel Rd Ste 1600, Dallas, TX 75240-1374

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