BRISTOL HOSPITAL INCORPORATED (NPI# 1619901642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619901642 |
| Entity Type | Organization |
| Organization Name | BRISTOL HOSPITAL INCORPORATED |
| Practice Address |
41 Brewster Rd Bristol CT 06011-0977 |
| Mailing Address |
41 Brewster Rd Po Box 977 Bristol CT 06011-0977 |
| Practice Telephone | 8605853357 |
| Practice Fax Number | 8605853179 |
| Mailing Telephone | 8605853497 |
| Mailing Fax Number | 8605853179 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | KURT ALAN BARWIS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8605853222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0041 | CT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | OXFORD | H04722 | 01 |
| CT | BLUE CROSS | 002 | 01 |
| CT | 4025193 | 05 | |
| CT | CONNECTICARE | 996294 | 01 |
| CT | AETNA US | 63122 | 01 |
| CT | HEALTHNET | I70013 | 01 |
| CT | 4041901 | 05 | |
| CT | CHAMPUS | C001869 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942769492 | Bristol Hospital Incorporated | Pharmacy | 41 Brewster Rd, Bristol, CT 06010-5141 | 2019-03-14 |
| 1013088756 | Bristol Hospital Incorporated | Psychiatric Unit | 41 Brewster Rd, Bristol, CT 06010 | 2006-11-13 |
| Street Address |
41 BREWSTER RD |
| City | BRISTOL |
| State | CT |
| Zip Code | 06011-0977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004977 | Kara A Lynch | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2005-06-23 |
| 1881294486 | Gretchen Holloway | Nurse Practitioner | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-11-01 |
| 1275133969 | Bristol Health Pharmacy, LLC | Pharmacy | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-10-30 |
| 1992311195 | Davina Dube | Family Medicine | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-09-22 |
| 1215549142 | Danielle Sarah Desmarais | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-08-21 |
| 1770192726 | Elina Tannenbaum | Registered Nurse | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-07-27 |
| 1093331670 | Kendra Jade Mcgregor | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-06-19 |
| 1043832066 | Michael Owen Richards | Internal Medicine | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-05-13 |
| 1093354953 | Erica Stolarz | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2019-12-24 |
| 1336703511 | Rachel Driscoll | Dietitian, Registered | 41 Brewster Rd, Bristol, CT 06010-5161 | 2019-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770690802 | Sheri Ann Gelzaines | Dietitian, Registered | Brewster Road, Bristol, CT 06011 | 2006-08-24 |
| 1477515625 | Charles Barnicoat | Physician Assistant | Bristol Hospital, Bristol, CT 06011 | 2006-04-04 |
| 1659606028 | Lise D Lawrence | Dietitian, Registered | 41 Brewster Road, Bristol, CT 06011 | 2009-10-02 |
| 1295877017 | Laureen Whitney | Pharmacist | Brewster Road, Bristol, CT 06011 | 2007-02-12 |
| 1508948274 | Collaborative Laboratory Services-bristol | Clinical Medical Laboratory | Brewster Road, Bristol, CT 06011 | 2006-10-20 |
| 1922023829 | Jennifer Muneyyirci Dugan | Emergency Medicine | Bristol Hospital, Brewster Road, Bristol, CT 06011 | 2006-07-12 |
| 1952319915 | Pacifico G Flores Jr. | Internal Medicine | 665 Terryville Ave, Bristol, CT 06011-0465 | 2006-08-04 |
| 1891795316 | Surendran Raja Raja Varma | Internal Medicine | 621 Terryville Ave, Bristol, CT 06011-0570 | 2005-07-27 |
| 1124051750 | Antonio Santoro | Physician Assistant | Bristol Hospital, Brewster Rd., Bristol, CT 06011-0977 | 2006-07-08 |
| 1598033342 | Mep of Bristol, LLC | Emergency Medicine | Brewster Road, Bristol, CT 06011-0977 | 2011-12-08 |
| Find all providers in zip 06011 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1700156148 | United Hospital System | General Acute Care Hospital | 8138 205th Ave, Bristol, WI 53104-9712 | 2012-01-03 |
| 1851798342 | Prime Healthcare Services Lower Bucks LLC | General Acute Care Hospital | 501 Bath Rd, Bristol, PA 19007-3101 | 2014-11-26 |
| 1528319621 | Prime Healthcare Services Lower Bucks LLC | General Acute Care Hospital | 501 Bath Rd, Bristol, PA 19007-3101 | 2012-09-28 |
| 1427312909 | Bristol Hospital | General Acute Care Hospital | 41 Brewster Road, Bristol, CT 06010 | 2012-06-28 |
| 1093975377 | Bristol Hospital Inc | General Acute Care Hospital | 41 Brewster Rd, Bristol, CT 06010-5161 | 2008-06-11 |
| 1962625558 | Roger Galloway | General Acute Care Hospital | 1 Medical Park Blvd, Suite 150 West, Bristol, TN 37620-7430 | 2007-04-11 |
| 1124058615 | Wellmont Health System | General Acute Care Hospital | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2006-07-03 |
| 1447214788 | Lower Bucks Hospital | General Acute Care Hospital | 501 Bath Rd, Bristol, PA 19007-3101 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1164815387 | Montefiore Hospital | General Acute Care Hospital | 15 Berrian Pl, Greenwich, CT 06830-6803 | 2015-03-12 |
| 1316295462 | Stamford Hospital | General Acute Care Hospital | 3 Cedargate Ln, Westport, CT 06880-3759 | 2012-08-21 |
| 1861756256 | Day Kimball Hospital | General Acute Care Hospital | 44 Hillcrest Dr, Vernon, CT 06066-4206 | 2012-06-29 |
| 1174830228 | Saint Raphael Hospital | General Acute Care Hospital | 1450, Chapel Street, Hospital of Saint Raphael, New Haven, CT 06511-2204 | 2010-09-10 |
| 1538485388 | University of Pittsburgh Medical Center | General Acute Care Hospital | 56 Hillside Pl, Apt 2, New Haven, CT 06511-3575 | 2010-04-19 |
| 1255586772 | Ynhh | General Acute Care Hospital | 56,hillside Pl., Apt No.2, New Haven, CT 06511 | 2008-11-25 |
| 1558511626 | Hartford Hospital | General Acute Care Hospital | 350 Russo Dr, Hamden, CT 06518-1757 | 2008-09-25 |
| 1932369907 | University of Connecticut Health Center | General Acute Care Hospital | 263 Farmington Ave # Mc-1119, Farmington, CT 06030-0001 | 2008-06-13 |
| 1316125107 | Ruben L Shapiro | General Acute Care Hospital | 15 Turnberry Ln, Bloomfield, CT 06002-2386 | 2008-02-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.