Active NPI
Family Medicine Partnership, PC
- Family Medicine Physician
- Bolton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY MEDICINE PARTNERSHIP, PC
- Practice address
- 921 Boston Turnpike
Bolton, CT 06043 - Phone
- (860) 646-0649
- Fax
- (860) 649-9195
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Buckman
- Title
- President
- Phone
- (860) 643-6486
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
921 Boston Turnpike
Bolton, CT 06043
Mailing address
921 Boston Tpke Ste a
Bolton, CT 06043-7479
Phone (860) 646-0649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004199825 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
921 Boston Tpke
Bolton, CT 06043
Phone (860) 646-0649
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Family Medicine) Physician
- Bolton, CT
- NPI 1871561092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1306995725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 BOSTON TPKE STE A",
"city": "BOLTON",
"state": "CT",
"postal_code": "060437479",
"telephone_number": "860-646-0649",
"fax_number": "860-649-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 BOSTON TURNPIKE",
"city": "BOLTON",
"state": "CT",
"postal_code": "06043",
"telephone_number": "860-646-0649",
"fax_number": "860-649-9195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE PARTNERSHIP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "BUCKMAN",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-643-6486"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004199825",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.