Individual provider Active NPI

Bryce Serpe

  • Physician Assistant
  • Branford, CT
National Provider Identifier
1649421645
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002177 Issued in CT
Practice address
6 Business Park Dr
Branford, CT 06405-2988
Phone
(203) 483-4580
NPI assigned
Oct 8, 2008
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002177 CT Primary

Addresses

Primary practice location

6 Business Park Dr
Branford, CT 06405-2988

Mailing address

70 Gillies Rd
Hamden, CT 06517-2116
Phone (518) 542-9979

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
I20081204000660 CT Practitioner - Physician Assistant 1658432927 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002177CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 26, 2018 Accepting new patients
Yale University CurrentSince Jul 26, 2018 Accepting new patients
Connecticut Em-1 Medical Services, PC Past Accepting new patients
CT Colony Emergency Physicians, LLC Past Accepting new patients

Locations

1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Interoperability endpoints

  • Direct secure messaging: bdelvecchio@direct.wtbyhosp.org
  • Direct secure messaging: bserpe187880@direct.ynhh.org

Organizations & group practices 4

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1649421645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GILLIES RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172116",
            "telephone_number": "518-542-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-483-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPE",
        "first_name": "BRYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.