NPIMap

Individual provider Active NPI

David R Gruen, MD

  • Diagnostic Radiology Physician
  • Stamford, CT
National Provider Identifier
1215901327
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036693 Issued in CT
Practice address
32 Strawberry Hill CT
2ND Floor Women'S Center
Stamford, CT 06902-2594
Phone
(203) 276-4152
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036693 CT Primary

Addresses

Primary practice location

32 Strawberry Hill CT
2ND Floor Women'S Center
Stamford, CT 06902-2594

Mailing address

32 Strawberry Hill CT
2ND Floor Women'S Center
Stamford, CT 06902-2594
Phone (203) 276-4152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100115000346 CT Practitioner - Diagnostic Radiology 1052453917 Reassigns benefits to 5 organizations
I20191205000875 MA Practitioner - Diagnostic Radiology 1052453917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology MRI Centers LPGroup PAC ID 6709779689, 22 clinicians
Advanced Radiology Consultants LLCGroup PAC ID 9436140563, 32 clinicians
Bridgeport Radiological Associates LLCGroup PAC ID 0941291082, 44 clinicians

Practice addresses (Care Compare)

15 Corporate Dr
Trumbull, CT 06611-1351
Phone (203) 384-3873

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Hospital & facility affiliations

  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251130MAMDRegistered Nurse
036693CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Advanced Radiology MRI Centers LP Diagnostic Radiology CurrentSince Jan 15, 2024 Accepting new patients
Bridgeport Radiological Associates LLC Diagnostic Radiology CurrentSince Jan 15, 2025 Accepting new patients
Advanced Radiology Consultants LLC Diagnostic Radiology CurrentSince Jan 15, 2025 Accepting new patients
Southwest Connecticut Radiology, LLC Diagnostic Radiology Past Accepting new patients
Norwalk Radiology Consultants PC Diagnostic Radiology Past Accepting new patients
Norwalk Radiology & Mammography Center Diagnostic Radiology Past Accepting new patients
Putnam Imaging Associates PC Diagnostic Radiology Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

1055 Post Rd
Fairfield, CT 06824
Phone (203) 254-1055

15 Corporate Dr
Trumbull, CT 06611
Phone (203) 261-3980

30 Danbury Rd
Wilton, CT 06897
Phone (203) 665-9729

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

Interoperability endpoints

  • Direct secure messaging: dgruen51180@connecticutchildrens.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1215901327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT",
            "address_2": "2ND FLOOR WOMEN'S CENTER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-276-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT",
            "address_2": "2ND FLOOR WOMEN'S CENTER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-276-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEN",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "036693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.