Organization Active NPI

Bruce R. Baron, M.D., PC

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1033440367
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13768 Issued in CT
Legal business name
BRUCE R. BARON, M.D., PC
Practice address
583 High Ridge Rd.
Stamford, CT 06905-2602
Phone
(203) 329-8651
Fax
(203) 968-2635
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Bruce R. Baron, M.D., PC
Title
Physician-Internal Medicine
Phone
(203) 329-8651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 13768 CT Primary

Addresses

Primary practice location

583 High Ridge Rd.
Stamford, CT 06905-2602

Mailing address

583 High Ridge Rd.
Stamford, CT 06905-2602
Phone (203) 329-8651

Other identifiers 1

IdentifierTypeStateIssuer
1137686MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1033440367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 HIGH RIDGE RD.",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069052602",
            "telephone_number": "203-329-8651",
            "fax_number": "203-968-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 HIGH RIDGE RD.",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069052602",
            "telephone_number": "203-329-8651",
            "fax_number": "203-968-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R. BARON, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN-INTERNAL MEDICINE",
        "authorized_official_telephone_number": "203-329-8651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "13768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1137686",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.