Organization Active NPI

Propicius Brain & Spine LLC

  • Specialist
  • Bloomfield, CT
National Provider Identifier
1528408663
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
045729 Issued in CT
Legal business name
PROPICIUS BRAIN & SPINE LLC
Practice address
701 Cottage Grove Rd
Ste. E230
Bloomfield, CT 06002-3080
Phone
(860) 904-3096
Fax
(860) 288-8671
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Patrick B Senatus, MD, PHD
Title
Owner
Phone
(860) 904-3096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 045729 CT Primary

Addresses

Primary practice location

701 Cottage Grove Rd
Ste. E230
Bloomfield, CT 06002-3080

Mailing address

PO Box 10
Tolland, CT 06084-0010
Phone (860) 904-3096

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7827/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1528408663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060840010",
            "telephone_number": "860-904-3096",
            "fax_number": "860-288-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD",
            "address_2": "STE. E230",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-904-3096",
            "fax_number": "860-288-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPICIUS BRAIN & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "SENATUS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-904-3096",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "045729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.