BRISTOL RADIATION ONCOLOGY NPI 1467414169

Radiology (Radiation Oncology) in Bristol, CT

About BRISTOL RADIATION ONCOLOGY

Bristol Radiation Oncology is a provider in Bristol, CT. The NPI number assigned to this provider is 1467414169. The practitioner's primary taxonomy code is Radiology (2085R0001X). The provider is registered as an organization and their NPI record was last updated 7 years ago. Bristol Radiation Oncology operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI

1467414169

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameBRISTOL RADIATION ONCOLOGY
Provider Location Address25 NEWELL RD SUITE C11 BRISTOL, CT 06010 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1020A E BOAL AVE BOALSBURG, PA 16827 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-06-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-01-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

BRISTOL RADIATION ONCOLOGY
25 NEWELL RD
SUITE C11
BRISTOL, CT
ZIP 06010
Phone: (860) 582-9800

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Mailing Address

BRISTOL RADIATION ONCOLOGY
1020A E BOAL AVE
BOALSBURG, PA
ZIP 16827
Phone: (814) 237-8627
Fax: (814) 238-0083

Primary Taxonomy

Taxonomy Code2085R0001X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationRadiation Oncology
License No.=========
License StateCT
Taxonomy DescriptionA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Authorized Official

Authorized Official Name JEFFREY BITTERMAN MD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleDIRECTOR
Authorized Official Phone(860) 582-9800

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C00788MEDICARE ID-TYPE UNSPECIFIED (04)CT
50BRADONCCT01OTHER (01)CT
001391606MEDICAID (05)CT

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003873571 RONALD S GREEN MD
Individual
Internal Medicine (Gastroenterology)25 NEWELL RD SUITE E-36
BRISTOL, CT 06010
(860) 583-9252
1033176870 DANIEL NORMAN SMILEY MD
Individual
Internal Medicine (Gastroenterology)25 NEWELL RD SUITE E-36
BRISTOL, CT 06010
(860) 583-9252
1063409308 MICHAEL STEPHEN PTASZYNSKI MD
Individual
25 NEWELL RD #D-25
BRISTOL, CT 06010
(860) 314-6020
1083679708DR. ROBERT C DEBIASE MD
Individual
Internal Medicine (Cardiovascular Disease)25 NEWELL RD SUITE D24
BRISTOL, CT 06010
(860) 582-3235
1114091634CONNECTICUT ORTHOPAEDIC CARE, LLC
Organization
Orthopaedic Surgery25 NEWELL RD
BRISTOL, CT 06010
(860) 585-3681
1124183074DR. JOANNA E SAMPSON M.D.
Individual
Internal Medicine (Gastroenterology)25 NEWELL RD SUITE E-36
BRISTOL, CT 06010
(860) 583-9252
1154625374BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
Organization
Surgery25 NEWELL RD SUITE D25
BRISTOL, CT 06010
(860) 585-3906
1235148438MRS. SHARON OKIN ADLER MD
Individual
Obstetrics & Gynecology25 NEWELL RD STE E 32
BRISTOL, CT 06010
(860) 582-8074
1346451903ORTHOPAEDIC ASSOCIATES OF CONNECTICUT LLC
Organization
Orthopaedic Surgery25 NEWELL RD SUITE C 14
BRISTOL, CT 06010
(860) 589-3766
1447468954DR. PETER E BLOOM JR. M.D.
Individual
Internal Medicine (Gastroenterology)25 NEWELL RD SUITE E36
BRISTOL, CT 06010
(860) 583-9252
1477656544 POLLY MORAN CNM
Individual
Advanced Practice Midwife25 NEWELL RD D-28
BRISTOL, CT 06010
(860) 584-4240
1578587705 DANIEL JOSEPH SCOPPETTA MD
Individual
Surgery25 NEWELL RD SUITE D28
BRISTOL, CT 06010
(860) 582-1220
1639287816 ARA D BAGDASARIAN MD
Individual
Surgery25 NEWELL RD STE D-21
BRISTOL, CT 06010
(860) 583-2003
1659474724 VICTORIA BIONDI MD
Individual
Obstetrics & Gynecology25 NEWELL RD SUITE D28
BRISTOL, CT 06010
(860) 584-4240
1710960646DR. TIMOTHY PATRICK MCLAUGHLIN
Individual
Specialist25 NEWELL RD SUITE C14
BRISTOL, CT 06010
(860) 589-3766
1720181803 MIWAKO OHTA-AGRESTA CNM
Individual
Advanced Practice Midwife25 NEWELL RD D28
BRISTOL, CT 06010
(860) 584-4240
1801934906BRISTOL GASTROENTEROLOGY ASSOCIATES, P.C.
Organization
Internal Medicine (Gastroenterology)25 NEWELL RD E-36
BRISTOL, CT 06010
(860) 583-9252
1841422367MRS. ELAINE M SEARLE APRN
Individual
Nurse Practitioner (Family)25 NEWELL RD SUITE E36
BRISTOL, CT 06010
(860) 583-9292
1861459349 KENNETH I KRASNER MD
Individual
Internal Medicine (Gastroenterology)25 NEWELL RD SUITE E-36
BRISTOL, CT 06010
(860) 583-9252
1912197781BRISTOL SURGICAL GROUP, P.C.
Organization
Specialist25 NEWELL RD SUITE D-21
BRISTOL, CT 06010
(860) 583-2003
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