Bristol Hospital Multi Specialty Group, Inc
Organization Active NPI General Practice Physician · Bristol, CT
NPI 1649265679 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1649265679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- BRISTOL HOSPITAL MULTI SPECIALTY GROUP, INC
- Practice address
- 15 Riverside Ave
Bristol, CT 06010-6312 - Phone
- (860) 585-3906
- Fax
- (860) 585-3907
- NPI assigned
- Sep 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Chris Ann Meaney, DNP MHA RN-BC FACHE
- Title
- President
- Phone
- (860) 585-3041
Practitioners 281
-
Arun Agarwal, M.D.
-
Doris L Altherr, MD
-
Nasima Banerjee, MD
-
Michele Palmucci Barry, APRN
-
Grace Yang Biggs, M.D.
-
Robert Black, M.D.
-
Craig M Bogdanski, D.O.
-
Nelson A Bondhus, MD
-
Tara Breslin, PAC
-
Doreen E Buttner, LCSW
-
Shatya Chittoori, MD
-
Mark Cho, APRN
-
Mohammad Farooq Dada, M.D.
-
Keona Dawson, APRN
-
Angelo De Los Angeles, M.D.
-
Robert C Debiase, MD
-
Marissa Rose Demers, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000960 | CT | Part B Supplier - Clinic/Group Practice | 9032014758 |
Receives reassigned benefits from 264 practitioners Practice locations: Wolcott, CT; Terryville, CT; Southington, CT; Plainville, CT; New Britain, CT; Burlington, CT; Bristol, CT |
| O20241126001628 | CT | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 9032014758 | Practice locations: Bristol, CT |
National Provider Directory
Locations (25 of 29)
539 Farmington Ave
#A
Bristol, CT 06010
Phone (860) 314-6046
61 Bradley St
Ste 1
Bristol, CT 06010
Phone (860) 372-5525
25 Newell Rd
Ste 34
Bristol, CT 06010
539 Farmington Ave
#B
Bristol, CT 06010
Phone (860) 314-6046
923 Farmington Ave
Bristol, CT 06010
Phone (860) 314-6000
104 North St
Bristol, CT 06010
Phone (860) 585-1283
25 Newell Rd
Ste D25
Bristol, CT 06010
Phone (860) 314-6020
123 Maple St
Bristol, CT 06010
Phone (860) 584-8021
41 Brewster Rd
#A
Bristol, CT 06010
25 Newell Rd
Ste C14
Bristol, CT 06010
Phone (860) 585-1560
5 Maple St
Bristol, CT 06010
Phone (860) 314-2052
85 Beleden Gardens Dr
Bristol, CT 06010
Phone (860) 582-1220
539 Farmington Ave
Ste Ab
Bristol, CT 06010
539 Farmington Ave
Ste B
Bristol, CT 06010
41 Brewster Rd
Ste 1
Bristol, CT 06010
539 Farmington Ave
Ste A
Bristol, CT 06010
975 Farmington Ave
Bristol, CT 06010
Phone (860) 582-4197
975 Farmington Ave
Ste 1
Bristol, CT 06010
Phone (860) 589-0114
61 Bradley St
Bristol, CT 06010
Phone (860) 584-8021
25 Newell Rd
Ste E34
Bristol, CT 06010
Phone (860) 589-8088
2 Spring Ln
Unit 2
Farmington, CT 06032
Phone (860) 284-6801
35 Pearl St
Ste 101
New Britain, CT 06051
Phone (860) 225-3587
36 Whiting St
Ste Ab
Plainville, CT 06062
36 Whiting St
Ste B
Plainville, CT 06062
Phone (860) 747-8315
36 Whiting St
Ste A
Plainville, CT 06062
Phone (860) 846-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Medical Oncology Physician |
207RX0202X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Otolaryngology Physician |
207Y00000X | |||
| Pediatrics Physician |
208000000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Surgery Physician |
208600000X | |||
| General Practice Physician |
208D00000X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Adult Health Nurse Practitioner |
363LA2200X |
Addresses
Primary practice location
15 Riverside Ave
Bristol, CT 06010-6312
Mailing address
PO Box 2828
Bristol, CT 06011-2828
Phone (860) 585-3906
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004174075 | Medicaid | CT | |
| 004194172 | Medicaid | CT |
Other providers in Bristol, CT
- Bristol Hospital EMS, LLC
- Bristol Hospital Inc
- Bristol Hospital Incorporated
- Bristol Hospital Incorporated
- Bristol Hospital Incorporated
- Bristol Hospital Multi Specialty Group, Inc
- Bristol Hospital Multi-Specialty Group, Inc.
- Bristol Hospital Multi-Specialty Group, Inc.
- Bristol Hospital Multi-Specialty Group, Inc.
- Bristol Hospital Multi-Specialty Group, Inc.
All providers in Bristol, CT · General Practice 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 Sep 16, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.