Individual provider Active NPI

Richard Alexander Bugliari, M.D.

  • Cardiovascular Disease Physician
  • Wallingford, CT
National Provider Identifier
1073517850
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
026682 Issued in CT
Practice address
1062 Barnes Rd
Ste 300
Wallingford, CT 06492-2576
Phone
(203) 265-9831
Fax
(203) 265-2977
NPI assigned
Jun 9, 2005
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 026682 CT Primary

Addresses

Primary practice location

1062 Barnes Rd
Ste 300
Wallingford, CT 06492-2576

Mailing address

1062 Barnes Rd
Ste 300
Wallingford, CT 06492-2576
Phone (203) 265-9831

Other identifiers 1

IdentifierTypeStateIssuer
001266824MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026682CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Past Accepting new patients
Cardiology Associates of Central Connecticut,LLC Cardiovascular Disease Past Accepting new patients

Organizations & group practices 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1073517850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "address_2": "STE 300",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922576",
            "telephone_number": "203-265-9831",
            "fax_number": "203-265-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "address_2": "STE 300",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922576",
            "telephone_number": "203-265-9831",
            "fax_number": "203-265-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGLIARI",
        "first_name": "RICHARD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "026682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001266824",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.