Active NPI
Brookside Pediatrics, P.C.
- Pediatrics Physician
- Bridgeport, CT
National Provider Identifier
1578574281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BROOKSIDE PEDIATRICS, P.C.
- Practice address
- 4637 Main St
Suite #4
Bridgeport, CT 06606-1838 - Phone
- (203) 374-3001
- Fax
- (203) 372-6710
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harold Scott Cronin, M.D.
- Title
- President
- Phone
- (203) 374-3001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
4637 Main St
Suite #4
Bridgeport, CT 06606-1838
Mailing address
4637 Main St
Suite #4
Bridgeport, CT 06606-1838
Phone (203) 374-3001
National Provider Directory
National Provider DirectoryLocations
4637 Main St
#4
Bridgeport, CT 06606
Phone (203) 374-3001
Interoperability endpoints
- https://api.platform.athenahealth.com/9646/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Bridgeport, CT
- NPI 1952312761
-
- Pediatrics Physician
- Norwalk, CT
- NPI 1801806799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578574281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4637 MAIN ST",
"address_2": "SUITE #4",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066061838",
"telephone_number": "203-374-3001",
"fax_number": "203-372-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4637 MAIN ST",
"address_2": "SUITE #4",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066061838",
"telephone_number": "203-374-3001",
"fax_number": "203-372-6710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKSIDE PEDIATRICS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CRONIN",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-374-3001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.