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

Individual provider Family Nurse Practitioner · NPI 1902565625

Mr. Brent Faherty, FNP is a Nurse Practitioner in Ridgefield, Connecticut. Qualified in 2021, 5 years ago. Practices with Prohealth Physicians PC, a 212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

96 Danbury Rd
Ridgefield, CT 06877-4069
Phone: (203) 438-0874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10273 (CT)

Record details

NPI number1902565625
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 9, 2021
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing address96 Danbury Rd, Ridgefield, CT 06877-4069

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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