Bristol Radiation Oncology Center

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

BRISTOL RADIATION ONCOLOGY CENTER

Practice address

25 Newell Rd Ste C11
Bristol, CT 06010-5140

Phone

(860) 582-9800

Fax

(203) 575-5992

NPI assigned

Apr 6, 2006

Last updated

Jun 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Michael HousmanNPI 1760640643

Title

Owner

Phone

(203) 575-5555

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

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.

• Douglas Michael Housman, M.D.

  • Radiation Oncology Physician
  • Bristol, CT
  • NPI 1760640643
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Ravalese, MD

  • Radiation Oncology Physician
  • Bristol, CT
  • NPI 1376505081
  Medicare reassignment Care Compare group NPD
• Meriem Mokhtech, MD

  • Radiation Oncology Physician
  • Orlando, FL
  • NPI 1245721646

  CT

  Medicare reassignment NPD
• Joseph Baron, M.D.

  • Radiation Oncology Physician
  • Toms River, NJ
  • NPI 1851572481
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1467414169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD STE C11",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD STE C11",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105140",
            "telephone_number": "860-582-9800",
            "fax_number": "203-575-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL RADIATION ONCOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "HOUSMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-575-5555"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001391606",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "50BRADONCCT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bristol Pathology Consultants, P.C.
• Bristol Pharmacy LLC (Bristol Pharmacy)
• Bristol Physical Therapy, LLC
• Bristol Plaza Family Dental
• Bristol Primary Care LLC
• Bristol SNF Operations, LLC
• Bristol SNF Operations, LLC
• Bristol Surgical Group, P.C.
• Bristol Urologic Associates PC
• Bristol Your Eyes

• Radiation Oncology Physician in Bristol, CT
• Providers in Bristol, CT by specialty
• Radiation Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.