Individual provider Active NPI

Bryan Thomas Danna, PA-C

  • Surgical Physician Assistant
  • Essex, CT
National Provider Identifier
1033360300
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
002184 Issued in CT
Practice address
12 Bokum Rd
Essex, CT 06426-1500
Phone
(860) 767-9053
Fax
(860) 767-1146
NPI assigned
Oct 6, 2008
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 002184 CT Primary

Addresses

Primary practice location

12 Bokum Rd
Essex, CT 06426-1500

Mailing address

12 Bokum Rd
Essex, CT 06426-1500
Phone (860) 767-9053

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081031000319 CT Practitioner - Physician Assistant 4789743006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

12 Bokum Rd
Essex, CT 06426-1500
Phone (860) 767-9053

14 Jones Hollow Rd
Suite 2
Marlborough, CT 06447-1448
Phone (860) 358-2850

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

540 Saybrook Rd
Middletown, CT 06457-4711
Phone (860) 358-5120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Orthopaedic Specialists, PC CurrentSince Oct 1, 2013 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Oct 9, 2017 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Oct 9, 2017 Accepting new patients
MHS Primary Care Inc. Surgical CurrentSince Nov 1, 2020 Accepting new patients
Connecticut Orthopaedic Specialists, PC Surgical CurrentSince Oct 1, 2013 Accepting new patients
MHS Primary Care, Inc Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Surgical Past Accepting new patients
Orthopedic Associates of Hartford,PC Past Accepting new patients

Locations

84 N Main St
Bldg 2
Branford, CT 06405
Phone (203) 407-1500

12 Bokum Rd
Essex, CT 06426
Phone (860) 767-9035

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8276

146 Samson Rock Dr
Madison, CT 06443
Phone (203) 245-7447

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1033360300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BOKUM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261500",
            "telephone_number": "860-767-9053",
            "fax_number": "860-767-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOKUM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261500",
            "telephone_number": "860-767-9053",
            "fax_number": "860-767-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNA",
        "first_name": "BRYAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "002184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, CT

Sources for this page

Verify at the official NPI Registry.