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BRISTOL HOSPITAL CLINICIANS P.C. NPI 1528017159


NPI Information

NPI: 1528017159
Provider Name: BRISTOL HOSPITAL CLINICIANS, P.C.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1 BREWSTER RD
BRISTOL, CT
ZIP 06010
Phone: (860) 585-3000
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BRISTOL HOSPITAL CLINICIANS, P.C. is a cardiovascular disease internal medicine in Bristol, CT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BRISTOL HOSPITAL CLINICIANS, P.C. NPI is 1528017159. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1 BREWSTER RD
BRISTOL, CT
ZIP 06010-142
Phone: (860) 585-3000
Fax: (860) 585-3907

The provider's authorized official is Leonard Banco .
The authorized official title is Vice President and has the following contact phone number (860) 585-3906.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 6/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C00977MEDICARE UPINCONNECTICUT
2004116001MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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