Individual provider Active NPI

Brendan Gontarz, MD

  • Vascular Surgery Physician
  • North Haven, CT
National Provider Identifier
1023471273
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
75034 Issued in CT
Practice address
280 State St
North Haven, CT 06473-6103
Phone
(203) 288-2886
Fax
(203) 288-2576
NPI assigned
Apr 4, 2016
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 75034 CT Primary

Addresses

Primary practice location

280 State St
North Haven, CT 06473-6103

Mailing address

280 State St
North Haven, CT 06473-6103
Phone (203) 288-2886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260615002194 CT Order and Referring Only - Vascular SurgeryPractitioner - Vascular Surgery 4486948585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Multi-Specialty CurrentSince Jul 1, 2026 Accepting new patients
The William W Backus Hospital Multi-Specialty Current Accepting new patients
Connecticut Vascular Center P.C. Multi-Specialty CurrentSince Aug 1, 2026 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC PastSince Jul 1, 2026 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Wilton Anesthesia Associates, LLC Multi-Specialty PastSince Nov 1, 2019 Accepting new patients

Locations

205 Sub Way
Ste 101
Milford, CT 06461
Phone (203) 874-1512

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

280 State St
North Haven, CT 06473
Phone (203) 288-2886

280 State St
Ste 1
North Haven, CT 06473
Phone (203) 288-2886

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIJABD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1023471273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064736103",
            "telephone_number": "203-288-2886",
            "fax_number": "203-288-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064736103",
            "telephone_number": "203-288-2886",
            "fax_number": "203-288-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONTARZ",
        "first_name": "BRENDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "75034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.