Individual provider Active NPI

An Bressner

  • Pediatrics Physician
  • Bridgeport, CT
National Provider Identifier
1609436435
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
73923 Issued in CT
Practice address
3715 Main St
Bridgeport, CT 06606-3618
Phone
(203) 371-7111
NPI assigned
Jun 14, 2019
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0116032904 VA
Pediatrics Physician 208000000X 322827 NY
Pediatrics Physician 208000000X 73923 CT Primary

Addresses

Primary practice location

3715 Main St
Bridgeport, CT 06606-3618

Mailing address

3715 Main St
Bridgeport, CT 06606-3618
Phone (203) 371-7111

Other practice location 1

1459A New Britain Ave
West Hartford, CT 06110-1659
Phone (860) 232-5437

Other practice location 2

620 E Boston Post Rd
Mamaroneck, NY 10543-3741
Phone (914) 777-5437

Other practice location 3

1500 Pleasant Valley Rd
Manchester, CT 06042-8759
Phone (860) 926-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73923CTMDPediatrics Physician
322827NYMDPediatrics Physician
0116032904VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PM Pediatrics of Selden Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics Past Accepting new patients
Optimus Health Care Inc Past Accepting new patients
PM Pediatrics of Bayside, PLLC Past Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients
Allied Physicians Group, PLLC Pediatrics Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients
PM Pediatrics of Connecticut Pediatrics Past Accepting new patients

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1609436435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063618",
            "telephone_number": "203-371-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063618",
            "telephone_number": "203-371-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1459A New Britain Ave",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061101659",
            "country_code": "US",
            "telephone_number": "860-232-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 E Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Mamaroneck",
            "state": "NY",
            "postal_code": "105433741",
            "country_code": "US",
            "telephone_number": "914-777-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060428759",
            "country_code": "US",
            "telephone_number": "860-926-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESSNER",
        "first_name": "AN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0116032904",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "322827",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "73923",
            "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 Jul 14, 2023; 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.