MEDICARE: CENTRAL CONNECTICUT PEDIATRICS LLC

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1750234043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL CONNECTICUT PEDIATRICS LLC

Provider Business Mailing Address
First Line	:	742 WORTHINGTON RDG
Second Line	:
City	:	BERLIN
State	:	CT
Zip	:	06037-3233
Country	:	US
Telephone Number	:	860-829-7337
Fax Number	:	860-829-2295

Provider Business Practice Location Address
First Line	:	742 WORTHINGTON RDG
Second Line	:
City	:	BERLIN
State	:	CT
Zip	:	06037-3233
Country	:	US
Telephone Number	:	860-829-7337
Fax Number	:	860-829-2295

Authorized Official
Title or Position	:	MANAGING PHYSICIAN
Name	:	DR. BRYAN ROGER HOLLAND
Credential	:	MD
Telephone Number	:	860-385-0609

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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