Bruce Paul Arose, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Hartford, CT
NPI 1619952603 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1619952603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 028865 (CT)
- Practice address
- 85 Seymour St Ste 200
Hartford, CT 06106-5509 - Phone
- (860) 246-6589
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110602000265 | MA | Practitioner - Diagnostic Radiology | 2365346178 | Reassigns benefits to 5 organizations |
| I20140204001854 | PA | Practitioner - Diagnostic Radiology | 2365346178 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028865 | CT | MD | Diagnostic Radiology Physician |
| 246166 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelmsford MRI, P.C. | Diagnostic Radiology | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Compass Medical PC | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Compass Medical PC | Current |
Accepting new patients | |
| Chelmsford MRI, P.C. | Diagnostic Radiology | Current |
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
8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300
54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200
3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 246166 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 028865 | CT | Yes |
Addresses
Primary practice location
85 Seymour St Ste 200
Hartford, CT 06106-5509
Mailing address
111 Founders PLZ
Suite 400
East Hartford, CT 06108-3212
Phone (860) 289-3375
Other practice location 1
111 Founders Plz
Suite 400
East Hartford, CT 06108-3212
Phone (860) 289-3375
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A2516306 | Other | CT | OXFORD |
| 001288655 | Medicaid | CT | |
| 010028865CT04 | Other | CT | ANTHEM BC/BS |
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- Sabeena Arora
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All providers in Hartford, CT · Diagnostic Radiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.