Individual provider Active NPI

Brian Patrick Munday, P.A.

  • Medical Physician Assistant
  • New Haven, CT
National Provider Identifier
1578613964
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2235 Issued in CT
Practice address
800 Howard Ave Lower Level
Comprehensive Epilepsy Center Llci 716
New Haven, CT 06520-8018
Phone
(203) 785-3865
Fax
(203) 737-2799
NPI assigned
Jan 10, 2007
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 18730 CA
Medical Physician Assistant 363AM0700X PA4176 MA
Medical Physician Assistant 363AM0700X 2235 CT Primary

Addresses

Primary practice location

800 Howard Ave Lower Level
Comprehensive Epilepsy Center Llci 716
New Haven, CT 06520-8018

Mailing address

15 York St Yale Epilepsy Center
Comprehensive Epilepsy Center Llci 716
New Haven, CT 06520-8018
Phone (203) 785-3865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090615000014 CT Practitioner - Physician Assistant 3971689555 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 16, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 16, 2020 Accepting new patients
Hartford Hospital CurrentSince Nov 13, 2017 Accepting new patients
Hartford Hospital CurrentSince Nov 13, 2017 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Nov 22, 2021 Accepting new patients
Novus Healthcare Group, LLC PastSince Jan 1, 2017 Accepting new patients
Springfield Neurology Associates, LLC Past Accepting new patients
Baystate Medical Practices, Inc PastSince Mar 1, 2015 Accepting new patients

Locations

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1578613964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 YORK ST YALE EPILEPSY CENTER",
            "address_2": "COMPREHENSIVE EPILEPSY CENTER LLCI 716",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208018",
            "telephone_number": "203-785-3865",
            "fax_number": "203-737-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE LOWER LEVEL",
            "address_2": "COMPREHENSIVE EPILEPSY CENTER LLCI 716",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208018",
            "telephone_number": "203-785-3865",
            "fax_number": "203-737-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDAY",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "18730",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4176",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.