NPIMap

Individual provider Active NPI

Bret F Coughlin, MD

  • Diagnostic Radiology Physician
  • Hartford, CT
National Provider Identifier
1487686713
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
032924 Issued in CT
Practice address
85 Seymour St Ste 200
Hartford, CT 06106-5509
Phone
(860) 246-6589
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 70533 MA
Diagnostic Radiology Physician 2085R0202X 032924 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 200
Hartford, CT 06106-5509

Mailing address

111 Founders PLZ
Ste 400
East Hartford, CT 06108-3212
Phone (860) 246-6589

Other practice location 1

111 Founders Plz
Ste 400
East Hartford, CT 06108-3212
Phone (860) 246-6589

Other identifiers 1

IdentifierTypeStateIssuer
003071694MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050301000580 MA Practitioner - Diagnostic Radiology 9335192418 Reassigns benefits to 7 organizations
I20070626000197 CT Practitioner - Diagnostic Radiology 9335192418

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Massachusetts Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032924CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 26, 2020 Accepting new patients
Riverbend Medical Group, Inc. Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Providence Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince May 16, 2024 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Sep 30, 2024 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 26, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology PastSince Aug 7, 2009 Accepting new patients

Locations

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

1 Donalds Way
Ste 105
East Bridgewater, MA 02333
Phone (508) 350-2200

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

Interoperability endpoints

  • Direct secure messaging: bcoughlin3618457@direct.trinity-health.org

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487686713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOUNDERS PLZ",
            "address_2": "STE 400",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083212",
            "telephone_number": "860-246-6589",
            "fax_number": "860-783-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065509",
            "telephone_number": "860-246-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Founders Plz",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "East Hartford",
            "state": "CT",
            "postal_code": "061083212",
            "country_code": "US",
            "telephone_number": "860-246-6589",
            "fax_number": "860-783-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "BRET",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "70533",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "032924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003071694",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.