Individual provider Active NPI

Carlos R Bras, PA-C

  • Physician Assistant
  • Danbury, CT
National Provider Identifier
1295762219
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00770 Issued in CT
Practice address
24 Hospital Ave
Danbury Hospital
Danbury, CT 06810-6099
Phone
(203) 739-7200
Fax
(203) 739-8749
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00770 CT Primary

Addresses

Primary practice location

24 Hospital Ave
Danbury Hospital
Danbury, CT 06810-6099

Mailing address

11 Rose CT
Lagrangeville, NY 12540-6245
Phone (845) 282-0470

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140408001024 CT Practitioner - Physician Assistant 2860494937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000770CTMDRegistered Dietitian
00770CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital CurrentSince Oct 1, 1999 Accepting new patients
Norwalk Hospital Association CurrentSince Mar 1, 2020 Accepting new patients
Norwalk Hospital Association CurrentSince Mar 1, 2020 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant Past Accepting new patients

Locations

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

Interoperability endpoints

  • Direct secure messaging: carlos.bras@direct.hvhc.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295762219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROSE CT",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406245",
            "telephone_number": "845-282-0470",
            "fax_number": "203-739-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "address_2": "DANBURY HOSPITAL",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-739-7200",
            "fax_number": "203-739-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAS",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "00770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.