Individual Healthcare Provider
Shanice Nicole Brucelis
Provider's NPPES record last updated: January 29, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164372280
- Primary Specialty
- Family Medicine — Adult Medicine
- Practice Location
- Enfield, Connecticut
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 9:23 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Adult Medicine
Allopathic & Osteopathic Physicians
The NUCC recommends this code not be used. Choose a more appropriate code.
Taxonomy code 207QA0505X
Provider-Reported License Information
- Family Medicine (Connecticut)
- 171673
Practice Locations
Practice Location
38 Glenwood St
Enfield, Connecticut 06082-2715
Phone: (860) 394-8710
Record Information
- Enumeration Date
- January 29, 2026
- Provider's NPPES Record Last Updated
- January 29, 2026
- Certification Date
- January 29, 2026
- NPISignal NPPES Dataset
- August 2026
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