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SHANICE NICOLE BRUCELIS
NPI 1164372280
Family Medicine - Adult Medicine in Enfield, CT

Active since January 29, 2026
38 GLENWOOD ST, ENFIELD, CT 06082(860) 394-8710 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanice Nicole Brucelis NPPES

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

SHANICE NICOLE BRUCELIS (NPI 1164372280) is an individual adult medicine provider in Enfield, Connecticut, licensed in Connecticut (171673) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1164372280
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameSHANICE NICOLE BRUCELIS
Location Address38 GLENWOOD STEnfield, CT 06082-2715
Mailing Address38 Glenwood StEnfield, CT 06082-2715
Phone(860) 394-8710
Sole ProprietorNo
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1164372280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CT · 171673
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
38 GLENWOOD ST, Enfield, CT 06082
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanice Brucelis's NPI number?

The NPI number for Shanice Brucelis is 1164372280. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Shanice Brucelis located?

Shanice Brucelis practices at 38 Glenwood St, Enfield, CT 06082. The listed phone number is (860) 394-8710.

What is Shanice Brucelis's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Shanice Brucelis was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.