Provider Demographics
NPI:1760482194
Name:DUNCAN, BRETT HUNTER (MD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:HUNTER
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RETREAT AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2528
Mailing Address - Country:US
Mailing Address - Phone:860-522-5712
Mailing Address - Fax:860-520-4270
Practice Address - Street 1:100 RETREAT AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2528
Practice Address - Country:US
Practice Address - Phone:860-522-5712
Practice Address - Fax:860-520-4270
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036868207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP12038232OtherMULTIPLAN ID#
CT010036868CT02OtherANTHEM BCBS ID#
CT0368680446OtherCONNECTICARE ID#
CT25679OtherHEALTH NEW ENGLAND ID#
CT8531454002OtherCIGNA HEALTH ID#
CTOV5811OtherHEALTHNET ID#
CTP2406333OtherOXFORD ID#
CT001368689Medicaid
CT2299401OtherAETNA ID#
CTP12038232OtherMULTIPLAN ID#
CTP2406333OtherOXFORD ID#