BURGDORF BANK OF AMERICA HEALTH CENTER (NPI# 1386085850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386085850 |
| Entity Type | Organization |
| Organization Name | BURGDORF BANK OF AMERICA HEALTH CENTER |
| Practice Address |
131 Coventry St 2nd Floor Administration Hartford CT 06112-1548 |
| Practice Telephone | 8607142813 |
| Practice Fax Number | 8607148541 |
| Mailing Telephone | 8607142813 |
| Mailing Fax Number | 8607148541 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |
| Authorized Official Name | DR. BRUCE E GOULD (SITE DIRECTOR) |
| Authorized Official Telephone | 8607143690 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT FRANCIS HOSPITAL & MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
131 COVENTRY ST 2ND FLOOR ADMINISTRATION |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982613303 | Jody Lynn Terranova | Pediatrics | 131 Coventry St, 2nd Floor, Hartford, CT 06112-1548 | 2006-08-05 |
| 1710506969 | Christi Rose Oommen | Student in an Organized Health Care Education/Training Program | 131 Coventry St, Hartford, CT 06112-1548 | 2020-04-08 |
| 1952930455 | Brian Pablo Bustos | Student in an Organized Health Care Education/Training Program | 131 Coventry St, Hartford, CT 06112-1548 | 2020-04-06 |
| 1588204952 | Luisa Maria Bernacet Rivera | Student in an Organized Health Care Education/Training Program | 131 Coventry St, Hartford, CT 06112-1548 | 2020-01-13 |
| 1720540941 | Nabeel Salih | Student in an Organized Health Care Education/Training Program | 131 Coventry St, Hartford, CT 06112-1548 | 2019-04-05 |
| 1912468174 | Ting Ting Wang | Student in an Organized Health Care Education/Training Program | 131 Coventry St, Hartford, CT 06112-1548 | 2019-03-28 |
| 1447756242 | Jamie Kayla Haber | Student in an Organized Health Care Education/Training Program | 131 Coventry St, Hartford, CT 06112-1548 | 2018-04-02 |
| 1861926982 | Chay Bae | Student in an Organized Health Care Education/Training Program | 131 Coventry St, Hartford, CT 06112-1548 | 2017-04-14 |
| 1174056881 | Sobia Faisal | Student in an Organized Health Care Education/Training Program | 131 Coventry St, 2nd Floor, Hartford, CT 06112-1548 | 2017-04-10 |
| 1285098152 | Adnan Zaidi | Student in an Organized Health Care Education/Training Program | 131 Coventry St, Hartford, CT 06112-1548 | 2016-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1942423488 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-11 |
| 1922121797 | Hartford Dispensary | Clinic/Center | 12-14 Weston Street, Hartford, CT 06120-1504 | 2007-04-09 |
| 1043823487 | Zen Wellness Care | Clinic/Center | 556 Zion St, Hartford, CT 06106-2348 | 2020-08-25 |
| 1770014656 | Ct Optimal Wellness, LLC | Clinic/Center | 100 Pearl St, 12 Floor, Hartford, CT 06103 | 2017-03-23 |
| 1679011803 | Community Health Services | Clinic/Center | 500 Albany Ave, Hartford, CT 06120-2508 | 2017-02-08 |
| 1780958884 | Disability Determination Services | Clinic/Center | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2012-03-07 |
| 1306168398 | Corporate Health Demensions, Inc | Clinic/Center | 151 Farmington Ave., Reaw, Hartford, CT 06156 | 2010-02-18 |
| 1629225842 | Aetna Inc., Wellness Works Center | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-08-19 |
| 1093930539 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-17 |
| Find all providers in HARTFORD | ||||
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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.