Individual provider Active NPI

Richard Arden Bronen, MD

  • Neuroradiology Physician
  • New Haven, CT
National Provider Identifier
1336121995
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
027238 Issued in CT
Practice address
800 Howard Ave
Yale Physicians Building
New Haven, CT 06519-1369
Phone
(203) 785-2140
Fax
(203) 785-6414
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 027238 CT Primary
Diagnostic Radiology Physician 2085R0202X 027238 CT

Addresses

Primary practice location

800 Howard Ave
Yale Physicians Building
New Haven, CT 06519-1369

Mailing address

PO Box 9805
300 George St 6TH Floor
New Haven, CT 06536-0805
Phone (203) 785-7998

Other identifiers 1

IdentifierTypeStateIssuer
001272385MedicaidCT

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
I20050412000056 CT Practitioner - Diagnostic Radiology 2466499439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, shared by 12 NPIs, 2,632 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2433

55 Lock St
New Haven, CT 06511-3603
Phone (203) 432-0076

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027238CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Diagnostic Radiology Current Accepting new patients
Yale University CurrentSince Jan 5, 2019 Accepting new patients
Yale University CurrentSince Oct 1, 2007 Accepting new patients
Orthopaedic Specialty Group, P.C. Diagnostic Radiology CurrentSince Aug 7, 2017 Accepting new patients
Orthopaedic Specialty Group, P.C. Diagnostic Radiology CurrentSince Aug 7, 2017 Accepting new patients
Yale University CurrentSince Oct 1, 2007 Accepting new patients

Locations

75 Kings Highway Cutoff
Ste 1A
Fairfield, CT 06824
Phone (203) 815-1877

305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600

111 Goose Ln
Guilford, CT 06437
Phone (203) 453-7100

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

60 Temple St
New Haven, CT 06510
Phone (203) 562-7688

20 York St
North Haven, CT 06510
Phone (203) 688-2433

2909 Main St
Stratford, CT 06614
Phone (203) 377-5108

Organizations & group practices 6

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 5

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1336121995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9805",
            "address_2": "300 GEORGE ST 6TH FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065360805",
            "telephone_number": "203-785-7998",
            "fax_number": "203-785-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE",
            "address_2": "YALE PHYSICIANS BUILDING",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369",
            "telephone_number": "203-785-2140",
            "fax_number": "203-785-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONEN",
        "first_name": "RICHARD",
        "middle_name": "ARDEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CT",
            "license": "027238",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "027238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001272385",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.