NPIMap

Individual provider Active NPI

Brian Alan Bast, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Norwalk, CT
National Provider Identifier
1063633188
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
045336 Issued in CT
Practice address
761 Main Ave
Suite 115
Norwalk, CT 06851-1080
Phone
(203) 845-2200
Fax
(203) 847-1940
NPI assigned
May 2, 2007
Last updated
Jan 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 233705 NY
Physical Medicine & Rehabilitation Physician 208100000X 045336 CT Primary

Addresses

Primary practice location

761 Main Ave
Suite 115
Norwalk, CT 06851-1080

Mailing address

761 Main Ave
Suite 115
Norwalk, CT 06851-1080
Phone (203) 845-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000406 CT Practitioner - Physical Medicine and Rehabilitation 4486748407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Orthoconnecticut PLLCGroup PAC ID 1850369018, 82 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

36 Old Kings Hwy S
Darien, CT 06820-4552
Phone (203) 845-2200

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as individual
Quality
85.99
Promoting interoperability
94
Improvement activities
40
Cost
81.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045336CTMDPhysical Medicine & Rehabilitation Physician
233705NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hvra of Ridgefield, LLC CurrentSince Apr 6, 2026 Accepting new patients
Orthoconnecticut, PLLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2015 Accepting new patients
Orthoconnecticut, PLLC CurrentSince Jan 1, 2015 Accepting new patients
Orthoconnecticut, PLLC Past Accepting new patients

Locations

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

36 Old Kings Hwy S
Darien, CT 06820
Phone (203) 655-8749

131 Kent Rd
New Milford, CT 06776
Phone (860) 350-3330

761 Main Ave
Ste 115
Norwalk, CT 06851
Phone (203) 545-2200

323 Riverside Ave
Westport, CT 06880
Phone (203) 221-7337

45 Danbury Rd
Wilton, CT 06897
Phone (203) 845-2987

45 Danbury Rd
Ste 100
Wilton, CT 06897

Interoperability endpoints

  • Direct secure messaging: brian.bast.p1@direct.cpfc.nextgenshare.com

Organizations & group practices 4

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 7

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1063633188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 115",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-845-2200",
            "fax_number": "203-847-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 115",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-845-2200",
            "fax_number": "203-847-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAST",
        "first_name": "BRIAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "233705",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "045336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.