HOSPITAL INTERNISTS OF BRISTOL LLC NPI 1083801039

NPI Information

  • NPI: 1083801039
  • Provider Name: HOSPITAL INTERNISTS OF BRISTOL, LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 07D2153752
  • Address: 41 BREWSTER RD
    BRISTOL, CT
    ZIP 06010
  • Phone: (860) 585-3313

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NPI Details

HOSPITAL INTERNISTS OF BRISTOL, LLC is an internal medicine in Bristol, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HOSPITAL INTERNISTS OF BRISTOL, LLC NPI is 1083801039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41 BREWSTER RD
BRISTOL, CT
ZIP 06010-161
Phone: (860) 585-3313
Fax: (860) 585-3500

The provider's authorized official is Elizabeth Tillman .
The authorized official title is Medical Director and has the following contact phone number (860) 585-3313.

The CLIA number assigned to this NPI record is 07D2153752 - other - wound care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 1/22/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2207Q00000XFamily MedicineNo
3363L00000XNurse PractitionerNo
4207R00000XInternal MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C03918OTHERCONNECTICUTGROUP MEDICARE

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: 3/30/2025

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