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BRISTOL CARDIOVASCULAR ASSOCIATES PC NPI 1912056292


NPI Information

NPI: 1912056292
Provider Name: BRISTOL CARDIOVASCULAR ASSOCIATES, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
22 PINE ST
SUITE 304
BRISTOL, CT
ZIP 06010
Phone: (860) 582-3235
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BRISTOL CARDIOVASCULAR ASSOCIATES, PC 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 CARDIOVASCULAR ASSOCIATES, PC NPI is 1912056292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22 PINE ST
SUITE 304
BRISTOL, CT
ZIP 06010-948
Phone: (860) 582-3235
Fax: (860) 582-0692

The provider's authorized official is Karen Anderson .
The authorized official title is Office Manager and has the following contact phone number (860) 582-3235.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 2/24/2015.


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 DiseaseCONNECTICUTYes

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
1E41712MEDICARE UPINCONNECTICUT
2001293646MEDICAIDCONNECTICUT
3001252279MEDICAIDCONNECTICUT
4B38565MEDICARE UPINCONNECTICUT
5830000017MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
6001359951MEDICAIDCONNECTICUT
7060000168MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
8G42417MEDICARE UPINCONNECTICUT
90060001176MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT

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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