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BOLTON FAMILYAND SPORTS MEDICINE
NPI 1992132161
Nurse Practitioner - Adult Health in Bolton, CT

Active since October 03, 2013
921 BOSTON TPKE, STE A, BOLTON, CT 06043(860) 646-0649(860) 649-1995 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bolton Familyand Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLTON FAMILYAND SPORTS MEDICINE (NPI 1992132161) is a healthcare organization registered as an adult health in Bolton, Connecticut and active in the NPI registry since October 2013. The organization lists Ronald Buckman, Owner, as its authorized official.

NPPES Registry Identity

NPI1992132161
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameFAMILY MEDICINE PARTERSHIP
Location Address921 BOSTON TPKE, STE ABolton, CT 06043-7403
Mailing Address921 Boston Tpke, Ste ABolton, CT 06043-7403 · (860) 646-0649 · Fax (860) 649-1995
Phone(860) 646-0649
Fax(860) 649-1995
Organization SubpartNo
Authorized OfficialRonald BuckmanOwner · (860) 646-0649
Enumeration DateOctober 3, 2013
✔ NPI 1992132161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 5515
921 BOSTON TPKE, Bolton, CT 06043
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Other Names 1

Doing Business AsBolton Familyand Sports Medicine

Other Identifiers 2

Other0308497007CT · Connecticare
Medicaid004199825CT

Group Practice 1

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIPER P LILLARD D.O.
Family Medicine
921 BOSTON TPKE, SUITE 2
BOLTON, CT 06043
Capitol Planning Region (860) 646-0649
MELISSA OLABISI APRN
Nurse Practitioner (Gerontology)
921 BOSTON TPKE
BOLTON, CT 06043
Capitol Planning Region (860) 742-1235
IRENE-LEE ANN KLEIN NP
Nurse Practitioner (Family)
921 BOSTON TPKE
BOLTON, CT 06043
Capitol Planning Region (860) 646-0649
MONIQUE MARIE BRUNELLE DNP, APRN, FNP-BC
Nurse Practitioner (Family)
921 BOSTON TPKE
BOLTON, CT 06043
Capitol Planning Region (860) 646-0649
DR. RONALD L BUCKMAN M.D.
Family Medicine (Sports Medicine)
921 BOSTON TPKE
BOLTON, CT 06043
Capitol Planning Region (860) 646-0649

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Medicine Partership's NPI number?

The NPI number for Family Medicine Partership is 1992132161. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Bolton Familyand Sports Medicine.

Where is Family Medicine Partership located?

Family Medicine Partership is located at 921 Boston Tpke Ste A, Bolton, CT 06043. The listed phone number is (860) 646-0649.

What is Family Medicine Partership's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Family Medicine Partership was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.