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DR. BRENDA JEAN CONNOLLY D.O.
NPI 1962597310
Family Medicine - Adult Medicine in Cortland, NY

Active since October 03, 2006
4038 WEST RD, CORTLAND, NY 13045(607) 758-3008(607) 758-3019 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brenda Jean Connolly D.o. NPPES

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

DR. BRENDA JEAN CONNOLLY D.O. (NPI 1962597310) is an individual adult medicine provider in Cortland, New York, licensed in New York (219374) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1962597310
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. BRENDA JEAN CONNOLLYCredential: D.O.
Location Address4038 WEST RDCortland, NY 13045-1842
Mailing Address17 Main St, Suite 302Cortland, NY 13045-6606 · (607) 753-3797 · Fax (607) 753-6677
Phone(607) 758-3008
Fax(607) 758-3019
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 2, 2013
✔ NPI 1962597310 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 NY · 219374
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4038 WEST RD, Cortland, NY 13045
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Other Identifiers 2

Medicaid02457596NY
Medicare PIN53606ANY

Other Providers at the Same Location NPPES 17

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

CAITLIN M ATWATER NP
Nurse Practitioner (Family)
4038 WEST RD
CORTLAND, NY 13045
Cortland County (607) 758-3008
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4038 WEST RD
CORTLAND, NY 13045
Cortland County (607) 758-3008
SAMANTHA DINSE NP
Nurse Practitioner (Adult Health)
4038 WEST RD
CORTLAND, NY 13045
Cortland County (607) 758-3008
ALEXANDER JOHN LANGLEY MD
Family Medicine
4038 WEST RD
CORTLAND, NY 13045
Cortland County (607) 758-3008
TRISHA ANNE STOTT NP
Nurse Practitioner (Family)
4038 WEST RD
CORTLAND, NY 13045
Cortland County (607) 758-3008
MEGAN GALLERANI
Physician Assistant (Medical)
4038 WEST RD
CORTLAND, NY 13045
Cortland County (607) 758-3008
DAVID TUNG OUYANG M.D.
Family Medicine
4038 WEST RD
CORTLAND, NY 13045
Cortland County (607) 758-3008
CATHY ZARZECKI
Pediatrics
4038 WEST RD
CORTLAND, NY 13045
Cortland County (607) 758-3008

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 Brenda Connolly's NPI number?

The NPI number for Brenda Connolly is 1962597310. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Brenda Connolly located?

Brenda Connolly practices at 4038 West Rd, Cortland, NY 13045. The listed phone number is (607) 758-3008.

What is Brenda Connolly'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 Brenda Connolly was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.