Brandi Lynn Iovino
Brandi Lynn Cowart · Internal Medicine

Address: 41 E Main St, Mystic, CT 06355-2831
Phone: 8605722988

Brandi Lynn Iovino (NPI# 1639303324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1639303324
Entity Type Individual
Full Name Brandi Lynn Iovino
Other Name Brandi Lynn Cowart
Credential D.O.
Gender Female
Practice Address 41 E Main St
Mystic
CT 06355-2831
Practice Telephone 8605722988
Mailing Address 41 E Main St
Mystic
CT 06355-2831
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2009-05-08
Last Update Date 2010-02-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 046497 CT
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 046497 CT

Physician Overview

NPI 1639303324
PAC ID by PECOS 1658427281
Professional Enrollment ID I20090923000021
Full Name Brandi L Iovino
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Phone Number 8605995477
Gender F
Medical School KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduation Year 2004
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 1254233836
Number of Group Practice Members 922
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070007 LAWRENCE & MEMORIAL HOSPITAL
410013 WESTERLY HOSPITAL

Office Location

Street Address 41 E MAIN ST
City MYSTIC
State CT
Zip Code 06355-2831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356571814 Primary Care of Mystic PC Family Medicine 41 E Main St, Mystic, CT 06355-2831 2009-07-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770076069 Brian Kristofer Owczarski Physical Therapist 80 Stonington Rd Ste A-3, Mystic, CT 06355 2018-06-11
1922554120 Kayla Nickerson Gauthier Marriage & Family Therapist 41 Williams Ave, Mystic, CT 06355 2016-08-28
1699148122 Pamela Manke Counselor 4 Broadway Avenue Ext Unit 3, Mystic, CT 06355 2015-11-05
1417351156 Lisa Pacifico Physical Therapist 44 Maritime Dive, Mystic, CT 06355 2014-10-09
1619386539 Jennifer Rock Occupational Therapist 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 2014-08-05
1346565843 Karen Lucille Hanscom Psychologist 47 Water St. #203, Mystic, CT 06355 2010-03-29
1346415627 Eldon Richard Kilpatrick Physical Therapy Assistant 186 Jerry Browne Rd, Mystic, CT 06355 2008-04-28
1760688931 Heather Elyse Geyer Physical Therapist 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 2007-06-25
1982728754 Falck Eye Center LLC Ophthalmology 35 Washington Street, Mystic, CT 06355 2007-03-19
1881724326 Richard Irwin Steinberg Dentist 117 Cow Hill Road, Mystic, CT 06355 2007-03-06
Find all providers in zip 06355

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154347250 Edmund A P West Internal Medicine 56 Whitehall Ave, Rt 27, Mystic, CT 06355 2006-07-14
1194710210 Thomas March Blum Internal Medicine 200 Sandy Hollow Rd, Mystic, CT 06355-1720 2005-09-14
1003001850 Main Medical-mystic, LLC Internal Medicine 23 Clara Dr, Suite 201, Mystic, CT 06355-1959 2007-09-13
1881780773 Seaport Clinic LLC Internal Medicine 56 Whitehall Ave, Rt 27, Mystic, CT 06355 2006-10-05
1881610970 Anne Maria Timmerman Internal Medicine 56 Whitehall Ave, Rt 27, Mystic, CT 06355 2006-07-14
1780679472 James Francis Sullivan Internal Medicine 200 Sandy Hollow Rd, Mystic, CT 06355-1720 2005-09-19
1194710269 James David Scarles Internal Medicine 200 Sandy Hollow Rd, Mystic, CT 06355-1720 2005-09-15
1821083999 Warren Lewis Fields Internal Medicine 200 Sandy Hollow Rd, Mystic, CT 06355-1720 2005-09-15
1902891070 Mystic Medical Group, PC Internal Medicine 200 Sandy Hollow Rd, Mystic, CT 06355-1720 2005-09-15
1346235462 Rosemary Catherine Bontempi Internal Medicine 200 Sandy Hollow Rd, Mystic, CT 06355-1720 2005-09-14
Find all providers in MYSTIC

Competitor

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City MYSTIC
Zip Code 06355

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Dataset Information

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.

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