Physician Management Services Of Connecticut, LLC
Family Medicine in Storrs, CT. Organization (NPI-2).
NPI number1316614720
StatusActive
Last updated in NPPESJul 24, 2026
Details
- NPI
- 1316614720
- Entity type
- Organization (NPI-2)
- Legal business name
- Physician Management Services Of Connecticut, LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 24, 2021
- Certification date
- Jul 24, 2026
- Last updated
- Jul 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CENTRALIZED FLU BILLER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
34 Professional Park RdStorrs, CT 06268-1659
Phone 888-829-8550
Mailing address
800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Other practice locations
13 Church Rd
East Granby, CT 06026-9406
East Granby, CT 06026-9406
Phone 888-829-8550
Authorized official
Brett Kenefick
President
8888298550
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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