Individual provider Active NPI

John Arthur Frazier, M.D.

  • Internal Medicine Physician
  • Bristol, CT
National Provider Identifier
1235222506
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
023662 Issued in CT
Practice address
123 Maple St
Bristol, CT 06010-5037
Phone
(860) 584-8021
Fax
(860) 584-0326
NPI assigned
Oct 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 023662 CT Primary
Cardiovascular Disease Physician 207RC0000X 023662 CT

Addresses

Primary practice location

123 Maple St
Bristol, CT 06010-5037

Mailing address

PO Box 2828
Bristol, CT 06011-2828
Phone (860) 585-3906

Other identifiers 1

IdentifierTypeStateIssuer
1236629MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000178 CT Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1658440748 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023662CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc Internal Medicine CurrentSince Nov 1, 2013 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Aug 11, 2010 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Aug 11, 2010 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

123 Maple St
Bristol, CT 06010
Phone (860) 584-8021

850 Mix Ave
Hamden, CT 06514
Phone (203) 281-3500

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1235222506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060112828",
            "telephone_number": "860-585-3906",
            "fax_number": "860-585-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAPLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105037",
            "telephone_number": "860-584-8021",
            "fax_number": "860-584-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "023662",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "023662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1236629",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.