Individual provider Active NPI

Charles Anthony Bruno Jr., D.O.

  • Diagnostic Radiology Physician
  • Hartford, CT
National Provider Identifier
1285912485
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
053700 Issued in CT
Practice address
85 Seymour St Ste 200
Hartford, CT 06106-5509
Phone
(860) 246-6589
NPI assigned
Jul 22, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 261426 MA
Diagnostic Radiology Physician 2085R0202X 053700 CT Primary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 260888 NY

Addresses

Primary practice location

85 Seymour St Ste 200
Hartford, CT 06106-5509

Mailing address

111 Founders PLZ Ste 400
East Hartford, CT 06108-3240
Phone (860) 289-3375

Other practice location 1

660 1st Ave
2nd Floor
New York, NY 10016-3295
Phone (212) 263-5219

Other practice location 2

660 1st Ave
2nd Floor
New York, NY 10016-3295
Phone (212) 263-5219

Other practice location 3

111 Founders Plz Ste 400
East Hartford, CT 06108-3240
Phone (860) 289-3375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150609002528 CT Practitioner - Diagnostic RadiologyPractitioner - Neurology 6608095674 Reassigns benefits to 6 organizations
I20150909001986 MA Practitioner - Diagnostic RadiologyPractitioner - Neurology 6608095674 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Neurology
Education
University of New England, College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians
Tic LLCGroup PAC ID 4880972819, 52 clinicians
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians

Practice addresses (Care Compare)

1260 Silas Deane Hwy
Suite 104
Wethersfield, CT 06109-4363

1260 Silas Deane Hwy 100
Wethersfield, CT 06109-4363
Phone 860289337587099

399 Farmington Ave
FL 1
Farmington, CT 06032-1936
Phone (860) 289-3375

6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848

80 Seymour St
Hartford, CT 06102-8000

85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053700CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Imaging Center, LLC Diagnostic Radiology CurrentSince Oct 3, 2016 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Apr 15, 2020 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2015 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2015 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Apr 15, 2020 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2015 Accepting new patients

Locations

399 Farmington Ave
Lowr 1
Farmington, CT 06032

111 Founders Plz
Ste 400
Hartford, CT 06108
Phone (860) 291-6554

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 100
Wethersfield, CT 06109
Phone 860289337587099

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

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

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

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

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Interoperability endpoints

  • Direct secure messaging: charles.bruno@xdr.hhchealthdirect.org

Organizations & group practices 9

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": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285912485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOUNDERS PLZ STE 400",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083240",
            "telephone_number": "860-289-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065509",
            "telephone_number": "860-246-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 1st Ave",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163295",
            "country_code": "US",
            "telephone_number": "212-263-5219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 1st Ave",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163295",
            "country_code": "US",
            "telephone_number": "212-263-5219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Founders Plz Ste 400",
            "address_purpose": "LOCATION",
            "city": "East Hartford",
            "state": "CT",
            "postal_code": "061083240",
            "country_code": "US",
            "telephone_number": "860-289-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "261426",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "053700",
            "primary": true
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": "260888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.