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

Brooke Mackenzie Donnellan

Individual provider Physician Assistant · NPI 1235904236

Brooke Mackenzie Donnellan is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2023, 3 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
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Practice location Address checks out

2800 Main St
Bridgeport, CT 06606-4292
Phone: (203) 576-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6495 (CT)

Record details

NPI number1235904236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address26 Hunts Brook Rd, Quaker Hill, CT 06375-1009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bridgeport