BACK TO HEALTH OF BRANFORD, LLC
NPI 1215958772
Internal Medicine in Branford, CT
About Back To Health Of Branford, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BACK TO HEALTH OF BRANFORD, LLC (NPI 1215958772) is a healthcare organization registered as an internal medicine in Branford, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Sharon L Bailey, Office Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 11
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Back To Health Of Branford, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Back To Health Of Branford, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D1072612
Back To Health Of Branford LLC · Branford, CTFrequently 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 Back To Health Of Branford, LLC's NPI number?
The NPI number for Back To Health Of Branford, LLC is 1215958772. It was assigned to this organization in the NPPES registry on July 21, 2006.
Where is Back To Health Of Branford, LLC located?
Back To Health Of Branford, LLC is located at 400 West Main Street, Branford, CT 06405. The listed phone number is (203) 483-7778.
What is Back To Health Of Branford, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Back To Health Of Branford, LLC enrolled in Medicare?
Yes. Back To Health Of Branford, LLC is registered in the Medicare PECOS enrollment system.
When is Back To Health Of Branford, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Back To Health Of Branford, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Back To Health Of Branford, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Chiropractic (1) and Physical Medicine and Rehabilitation (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Back To Health Of Branford, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D1072612) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Back To Health Of Branford, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Back To Health Of Branford, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Back To Health Of Branford, LLC was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Back To Health Of Branford, Llc · NPI 1215958772
Internal Medicine organization in Branford, Connecticut. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1215958772 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sharon Bailey, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 400 WEST MAIN STREET, Branford, CT 06405
- **Phone:** (203) 483-7778 · **Fax:** (203) 481-0234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Chiropractic (1), Physical Medicine and Rehabilitation (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2014
- **Other identifiers:** Other C02868; Medicaid 008038901 (CT); Medicare PIN 250000377; and 8 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215958772) · Data from the CMS NPPES public registry.