NPIMap

Organization Active NPI

Bristol Hospital Incorporated

  • Psychiatric Hospital Unit
  • Bristol, CT
National Provider Identifier
1013088756
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
BRISTOL HOSPITAL INCORPORATED
Practice address
41 Brewster Rd
Bristol, CT 06010
Phone
(860) 585-3357
Fax
(860) 585-3179
NPI assigned
Nov 13, 2006
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kurt Alan Barwis
Title
President and Ceo
Phone
(860) 585-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

41 Brewster Rd
Bristol, CT 06010

Mailing address

41 Brewster Rd
PO Box 977
Bristol, CT 06010-5161
Phone (860) 585-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080922000247 CT Part A Provider - Hospital 9739084096 Practice locations: Bristol, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013088756. Details of each certification follow.

Hospital certification: CCN 07S029

Legal name
BRISTOL HOSPITAL INCORPORATED
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 1920 in CT
Enrollment address
41 Brewster Rd
Bristol, CT 60105161
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bristol EMS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Lockwood Individual Corporate DirectorBoard Member Apr 28, 2017
John Lodovico Individual Corporate OfficerSecretary / Treasurer Apr 24, 2024
Corporate DirectorBoard Member Jan 17, 2008
Kurt a Barwis Individual Corporate DirectorPresident and Ceo Aug 13, 2008
Operational/Managerial ControlPresident and Ceo Aug 7, 2008 100%
Jeffrey Kaye Individual Corporate Director Apr 3, 2019
Rupalini Rawal-Dhingra Individual Corporate DirectorBoard Member Oct 1, 2021
Irene Bassock Individual Corporate OfficerVice Chairman Apr 24, 2024
Corporate DirectorBoard Member Feb 17, 2021
Lisa Casey Individual Corporate Director Oct 3, 2018
Clifford Stone Individual Corporate DirectorBoard Member Apr 24, 2024
Jennifer N McCallister Individual Corporate Director Apr 3, 2019
Michele Normandin Individual Corporate DirectorPresident of the Medical Staff Jan 26, 2022
Katarzyna Krystyna Lessard Individual Corporate DirectorBoard Member Feb 17, 2021
Michael Heimbach Individual Corporate Director Mar 7, 2018
Louis Auletta Individual Corporate OfficerChairman Apr 24, 2024
Corporate DirectorBoard Member Apr 28, 2017

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1013088756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BREWSTER RD",
            "address_2": "PO BOX 977",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105161",
            "telephone_number": "860-585-3223",
            "fax_number": "860-585-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BREWSTER RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-585-3357",
            "fax_number": "860-585-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL HOSPITAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "BARWIS",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "860-585-3222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.