DANA BRUNELL EISENBERG
NPI 1063990612
Nurse Practitioner - Pediatrics in Bridgeport, CT

Q: What is Dana Brunell Eisenberg's NPI number?

The NPI number for Dana Brunell Eisenberg is 1063990612. It was assigned to this individual provider in the NPPES registry on August 4, 2018.

Q: What is Dana Brunell Eisenberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since August 04, 2018PECOS Enrolled

46 ALBION ST, BRIDGEPORT, CT 06605(203) 330-6000 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2023, Nov 25, 2022, Aug 29, 2018 and 1 more (4 updates tracked since 2018).

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About Dana Brunell Eisenberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANA BRUNELL EISENBERG (NPI 1063990612) is an individual pediatrics provider in Bridgeport, Connecticut, licensed in Connecticut (7799) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1063990612

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameDANA BRUNELL EISENBERG

Location Address46 ALBION STBridgeport, CT 06605

Mailing Address140 Dixon StBridgeport, CT 06604-1803

Phone(203) 330-6000

Sole ProprietorNo

Enumeration DateAugust 4, 2018

Last NPPES UpdateFebruary 13, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2023

✔ NPI 1063990612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CT · 7799

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 136714 (CT)

46 ALBION ST, Bridgeport, CT 06605

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Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 837-5758

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Brunell Eisenberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENDRA N DASCANO LPC-A

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