Individual provider Active NPI

Charles Barnicoat, PA

  • Physician Assistant
  • Bristol, CT
National Provider Identifier
1477515625
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001459 Issued in CT
Practice address
Bristol Hospital
Bristol, CT 06011
Phone
(860) 585-3433
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001459 CT Primary
Physician Assistant 363A00000X PA9102379 FL

Addresses

Primary practice location

Bristol Hospital
Bristol, CT 06011

Mailing address

6 Cotswold Way
Avon, CT 06001-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081113000732 FL Practitioner - Physician Assistant 3971598186 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001459CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Naples PLLC Past Accepting new patients
Epn Urgent Care LLC Past Accepting new patients
Epn Family Care LLC Past Accepting new patients
CT Emergency Medicine Specialists, LLC Past Accepting new patients

Organizations & group practices 5

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1477515625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COTSWOLD WAY",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRISTOL HOSPITAL",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06011",
            "telephone_number": "860-585-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNICOAT",
        "first_name": "CHARLES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001459",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.