Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PHYSICIAN MANAGEMENT SERVICES OF CONNECTICUT, LLC
NPI 1316614720
Family Medicine in Storrs, CT

Active since August 24, 2021
34 PROFESSIONAL PARK RD, STORRS, CT 06268(888) 829-8550 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, May 21, 2026, Aug 24, 2021 (3 updates tracked since 2021).

About Physician Management Services Of Connecticut, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF CONNECTICUT, LLC (NPI 1316614720) is a healthcare organization registered as a family medicine in Storrs, Connecticut and active in the NPI registry since August 2021. The organization maintains a secondary practice location in East Granby and lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1316614720
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF CONNECTICUT, LLC
Location Address34 PROFESSIONAL PARK RDStorrs, CT 06268-1659
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateAugust 24, 2021
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1316614720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

34 PROFESSIONAL PARK RD, Storrs, CT 06268

Secondary Practice Location 1

Location 113 Church RdEast Granby, CT 06026-9406 · Phone (888) 829-8550

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Licensed Practical Nurse
34 PROFESSIONAL PARK RD
STORRS MANSFIELD, CT 06268
Physician Assistant
34 PROFESSIONAL PARK RD
STORRS MANSFIELD, CT 06268
Nurse Practitioner (Family)
34 PROFESSIONAL PARK RD
STORRS, CT 06268

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 Physician Management Services Of Connecticut, LLC's NPI number?

The NPI number for Physician Management Services Of Connecticut, LLC is 1316614720. It was assigned to this organization in the NPPES registry on August 24, 2021.

Where is Physician Management Services Of Connecticut, LLC located?

Physician Management Services Of Connecticut, LLC is located at 34 Professional Park Rd, Storrs, CT 06268. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Connecticut, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Physician Management Services Of Connecticut, LLC was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.