Beaver Pond Brook Emergency Physicians LLC
NPI 1386173201ActiveOrganization· Emergency Medicine· Waterbury, CT
Emergency Medicine in Waterbury, Connecticut, registered in NPPES in June 2017. The authorized official on file is Russell Harris, MD, Officer.
Overview
| NPI | 1386173201 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 5, 2017 |
| Last updated in NPPES | Jun 5, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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