BRENDAN J HAYWOOD (NP) – Family Nurse Practitioner, NPI 1720806896

BRENDAN J HAYWOOD (NP) is a healthcare provider. based in Norwich, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 13939 (CT). The NPI Number for BRENDAN J HAYWOOD (NP) is 1720806896

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
BRENDAN J HAYWOOD (NP)
NPI
1720806896
Phone
(860) 887-0010
Address
1 TOWNE PARK PLZ
Enumeration Date
28 September 2024
Last Update Date
24 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608870010
Graduation Year
2024 (2 years ago)
PAC ID
1052844842
Group Practice PAC ID
6204810401
Professional Enrollment ID
I20241031003920
Address ID
CT063602247NO1XXXXPLZX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for BRENDAN J HAYWOOD (NP)

  • 1 TOWNE PARK PLZ

    NORWICH, CT 063602247

    Phone: (860) 887-0010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241031003920INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204810401View full group profile
NameSpecialtyState
Nurse PractitionerCT
-CT
Internal MedicineCT

Reviews

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Frequently asked questions

Where can patients find BRENDAN J HAYWOOD (NP)'s NPI?
You can confirm BRENDAN J HAYWOOD (NP) with NPI 1720806896; it appears in the national provider directory.
Is BRENDAN J HAYWOOD (NP)'s NPI currently valid?
The extract we use shows BRENDAN J HAYWOOD (NP) as active.
What field does BRENDAN J HAYWOOD (NP) work in?
You can think of BRENDAN J HAYWOOD (NP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is BRENDAN J HAYWOOD (NP)'s primary listing?
We display Norwich, Connecticut because that is what the record indicates for BRENDAN J HAYWOOD (NP).
Is BRENDAN J HAYWOOD (NP) a real provider?
This page reflects official NPPES data for NPI 1720806896. Always confirm identity and privileges with the practice and licensing boards.

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