Individual provider Active NPI

Bruce D. Caldarone, D.C.

  • Neurology Chiropractor
  • Branford, CT
National Provider Identifier
1407929664
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
1009 Issued in CT
Practice address
239 N Main St
Branford, CT 06405-3020
Phone
(203) 488-1105
Fax
(203) 488-8113
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 1009 CT Primary

Addresses

Primary practice location

239 N Main St
Branford, CT 06405-3020

Mailing address

239 N Main St
Branford, CT 06405-3020
Phone (203) 488-1105

Other identifiers 3

IdentifierTypeStateIssuer
050001009CT02OtherCTANTHEM BLUE CROSS
CT01009OtherCTLANDMARK PROVIDER
3759643OtherCTAETNA PROVIDER ID

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
I20041117000441 CT Practitioner - ChiropracticPractitioner - Neurology 2769446939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
National College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 E Main St
Unit A1
Branford, CT 06405-2912
Phone (203) 488-1105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1009CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Caldarone Chiropractic Center LLC Neurology CurrentSince Jan 11, 2004 Accepting new patients

Locations

23 S Main St
Branford, CT 06405
Phone (203) 488-1105

239 N Main St
Branford, CT 06405
Phone (203) 488-1105

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1407929664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053020",
            "telephone_number": "203-488-1105",
            "fax_number": "203-488-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053020",
            "telephone_number": "203-488-1105",
            "fax_number": "203-488-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDARONE",
        "first_name": "BRUCE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "050001009CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK PROVIDER",
            "identifier": "CT01009",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "3759643",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.