NPIMap

Organization Active NPI

Burgdorf Bank of America Health Center

  • Primary Care Clinic/Center
  • Hartford, CT
National Provider Identifier
1386085850
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BURGDORF BANK OF AMERICA HEALTH CENTER
Practice address
131 Coventry St
2ND Floor Administration
Hartford, CT 06112-1548
Phone
(860) 714-2813
Fax
(860) 714-8541
NPI assigned
Jul 12, 2013
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT FRANCIS HOSPITAL & MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Dr. Bruce E Gould, MDNPI 1104837541
Title
Site Director
Phone
(860) 714-3690

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

131 Coventry St
2ND Floor Administration
Hartford, CT 06112-1548

Mailing address

131 Coventry St
2ND Floor Administration
Hartford, CT 06112-1548
Phone (860) 714-2813

National Provider Directory

National Provider Directory
Tax ID family
Emergency Room Dept10 organizations share this tax ID, including this one
Part of
Emergency Room Dept

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1386085850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COVENTRY ST",
            "address_2": "2ND FLOOR ADMINISTRATION",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121548",
            "telephone_number": "860-714-2813",
            "fax_number": "860-714-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COVENTRY ST",
            "address_2": "2ND FLOOR ADMINISTRATION",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121548",
            "telephone_number": "860-714-2813",
            "fax_number": "860-714-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGDORF BANK OF AMERICA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT FRANCIS HOSPITAL & MEDICAL CENTER",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "860-714-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.