BHAWNA GUPTA (NPI# 1700885100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700885100 |
| Entity Type | Individual |
| Full Name | BHAWNA GUPTA |
| Credential | MD |
| Practice Address |
5520 Park Ave Ste. 206 Trumbull CT 06611-3463 |
| Mailing Address |
9 Washington Ave Ste # 2d Hamden CT 06518-3267 |
| Practice Telephone | 2033717177 |
| Mailing Telephone | 2033717177 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 45710 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT STATE LICENSE | 45710 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972047538 | Bhawna Gupta | Dentist | 7611 Flower Meadow Dr, San Diego, CA 92126-1048 | 2016-12-15 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| 1649462102 | Bhawna Gupta | Internal Medicine | 1330 Rockefeller Ave Ste 210, Everett, WA 98201-1676 | 2007-08-17 |
| Street Address |
5520 PARK AVE STE. 206 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652665 | David H Witt | Internal Medicine | 5520 Park Ave, Ste 203, Trumbull, CT 06611-3463 | 2005-07-12 |
| 1053947465 | Hyungbok H Jeong | Nurse Practitioner | 5520 Park Ave, Trumbull, CT 06611-3463 | 2020-03-17 |
| 1902375835 | Laura Elizabeth Morris | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611-3463 | 2018-11-20 |
| 1629581053 | Sophie Jaffe | Social Worker | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-11-07 |
| 1154834786 | Jordan Marcou | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611 | 2017-11-06 |
| 1013439769 | Alexis Grace Shaub | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-07-14 |
| 1902346224 | Catherine Wei | Internal Medicine | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-03-06 |
| 1649725656 | Jenna Addison | Registered Nurse | 5520 Park Ave, Trumbull, CT 06611-3463 | 2016-08-19 |
| 1447519582 | Jill Cooper Kenney | Naturopath | 5520 Park Ave, Trumbull, CT 06611-3463 | 2012-05-10 |
| 1457619660 | Pain & Spine Specialists of Connecticut LLC | Specialist | 5520 Park Ave, 303, Trumbull, CT 06611-3463 | 2012-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053849976 | Gerardo Elias Tolentino | Family Medicine | 112 Quarry Rd Ste 120, Trumbull, CT 06611-4877 | 2017-05-24 |
| 1043852569 | St. Vincents Urgent Care LLC | Family Medicine | 900 White Plains Rd, Trumbull, CT 06611-5727 | 2019-10-16 |
| 1205073962 | Corey Jaquez | Family Medicine | 17 Church Hill Rd, Trumbull, CT 06611-3116 | 2009-01-15 |
| 1629233036 | Deborah Pinto | Family Medicine | 15 Corporate Dr, Trumbull, CT 06611-1351 | 2008-07-24 |
| 1093840092 | Pritee Gada | Family Medicine | 112 Quarry Rd, Suite 120, Trumbull, CT 06611-4816 | 2007-02-22 |
| 1538113139 | Milla Stelman | Family Medicine | 112 Quarry Rd, Suite 120, Trumbull, CT 06611-4816 | 2006-05-19 |
| 1952360885 | Douglas Duchen | Family Medicine | 112 Quarry Rd, Suite 120, Trumbull, CT 06611-4816 | 2006-03-20 |
| 1144209321 | Cosmo Filiberto | Family Medicine | 112 Quarry Rd, Suite 120, Trumbull, CT 06611-4816 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
| 1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
| 1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
| 1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
| 1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
| 1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
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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.