MEDICARE: BRENTON NASH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	1.074419.RES	CT
2	208M00000X	Hospitalist Physician	071140	CT
3	208M00000X	Hospitalist Physician	2019017095	MO
4	208M00000X	Hospitalist Physician	D0089612	MD
5	207RI0200X	Infectious Disease Physician	071140	CT

General Provider Information

NPI Number	:	1528413242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENTON NASH MD

Provider Business Mailing Address
First Line	:	263 FARMINGTON AVENUE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-8025
Country	:	US
Telephone Number	:	860-679-3245
Fax Number	:	860-679-1217

Provider Business Practice Location Address
First Line	:	263 FARMINGTON AVENUE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-8025
Country	:	US
Telephone Number	:	860-679-3245
Fax Number	:	860-679-1217

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2016
Last Update Date	:	05/28/2025

Similar Medicare Providers

1710506399 — BRENDAN ROBERT DILLON MD
Practice Location Address:

263 FARMINGTON AVENUE
FARMINGTON, CT
06030-8025

Practice Phone: 860-679-4224
Practice Fax: 860-679-1217

1134445083 — MAHIMA GULATI M.D.
Practice Location Address:

263 FARMINGTON AVENUE
FARMINGTON, CT
06030-8025

Practice Phone: 860-679-3246
Practice Fax: 860-679-1217

1003202151 — TARUNYA REDDY VEDERE
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-8025

Practice Phone: 860-679-3245
Practice Fax: 860-679-0121

1528441169 — MARAM KHALIFA
Practice Location Address:

263 FARMINGTON AVENUE
FARMINGTON, CT
06030-8025

Practice Phone: 860-679-4225
Practice Fax: 860-679-1217

1770168361 — BETTY POTOCZNY
Practice Location Address:

4189 HUSKY HWY
FARMINGTON, WV
26571-8025

Practice Phone: 304-709-2781
Practice Fax:

1467346346 — MALISSA ANNE FITZWATER
Practice Location Address:

4181 HUSKY HWY
FARMINGTON, WV
26571-8025

Practice Phone: 304-290-2105
Practice Fax:

Directions to “ BRENTON NASH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.