Organization Active NPI

Bruce Rothschild, M.D., PLLC

  • Psychiatry Physician
  • Bloomfield, CT
National Provider Identifier
1043719776
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
029851 Issued in CT
Legal business name
BRUCE ROTHSCHILD, M.D., PLLC
Practice address
34 Jerome Ave
Bloomfield, CT 06002-2463
Phone
(860) 243-5024
Fax
(860) 286-9948
NPI assigned
Feb 8, 2018
Last updated
Feb 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Dr. Bruce Stephen Rothschild, MDNPI 1407821176
Title
Member
Phone
(860) 810-3805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 029851 CT Primary

Addresses

Primary practice location

34 Jerome Ave
Bloomfield, CT 06002-2463

Mailing address

34 Jerome Ave
Bloomfield, CT 06002-2463
Phone (860) 243-5024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180319001633 CT Part B Supplier - Clinic/Group Practice 2769744333 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield, CT

National Provider Directory

National Provider Directory

Locations

34 Jerome Ave
Ste 110
Bloomfield, CT 06002
Phone (860) 243-5024

701 Cottage Grove Rd
Ste C130
Bloomfield, CT 06002
Phone (860) 243-3352

Practitioners & affiliated clinicians

Practitioners 1

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": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1043719776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-243-5024",
            "fax_number": "860-286-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-243-5024",
            "fax_number": "860-286-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE ROTHSCHILD, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "ROTHSCHILD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-810-3805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "029851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.