Individual provider Active NPI

Bryna L. Avenia, PA

  • Physician Assistant
  • Torrington, CT
National Provider Identifier
1336229269
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000802 Issued in CT
Practice address
540 Litchfield St
Torrington, CT 06790-6679
Phone
(860) 496-6650
NPI assigned
Oct 16, 2006
Last updated
May 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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 000802 CT Primary

Addresses

Primary practice location

540 Litchfield St
Torrington, CT 06790-6679

Mailing address

PO Box 30774
Hartford, CT 06150-0774
Phone (866) 898-7138

Other identifiers 1

IdentifierTypeStateIssuer
802000OtherCONNECTICARE

Other names 1

  • Bryna L. Bertrand Former name

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
I20110119001298 CT Practitioner - Physician Assistant 5698954873 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians

Practice addresses (Care Compare)

576 Farmington Ave
Bristol, CT 06010-3933
Phone (860) 650-3848

900 Main St S
Suite 100
Southbury, CT 06488-4213
Phone (860) 650-3848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000802CTMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Dec 2, 2022 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Oct 10, 2012 Accepting new patients
American Current Care PA CurrentSince Dec 2, 2022 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

701 Main St
East Hartford, CT 06108
Phone (860) 289-5561

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1336229269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30774",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061500774",
            "telephone_number": "866-898-7138",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENIA",
        "first_name": "BRYNA",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "802000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNA",
            "last_name": "BERTRAND",
            "middle_name": "L.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.