Individual provider Active NPI

Bryan T. Lawlor

  • Clinical Cardiac Electrophysiology Physician
  • Fairfield, CT
National Provider Identifier
1659790293
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
70120 Issued in CT
Practice address
1305 Post Rd
Fairfield, CT 06824-6016
Phone
(203) 292-2000
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Cardiac Electrophysiology Physician 207RC0001X 70120 CT Primary

Addresses

Primary practice location

1305 Post Rd
Fairfield, CT 06824-6016

Mailing address

1305 Post Rd
Fairfield, CT 06824-6016
Phone (203) 292-2000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719002035 CT Practitioner - Cardiac Electrophysiology 0840419768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Connecticut School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Bridgeport HospitalGroup PAC ID 2062312598, 134 clinicians

Practice addresses (Care Compare)

1305 Post Rd
Lowr Level
Fairfield, CT 06824-6016
Phone (203) 292-2000

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70120CTMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Bridgeport Hospital CurrentSince Dec 1, 2022 Accepting new patients
Bridgeport Hospital Current Accepting new patients
Bridgeport Hospital CurrentSince Dec 1, 2022 Accepting new patients
Cardiac Specialists, P.C. Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

25 Germantown Rd
Ste 2B
Danbury, CT 06810
Phone (203) 794-0090

1305 Post Rd
Fairfield, CT 06824
Phone (203) 255-3441

1305 Post Rd
Lowr
Fairfield, CT 06824
Phone (203) 292-2000

30 Prospect St
Ste 200
Ridgefield, CT 06877
Phone (203) 438-4520

2 Ivy Brook Rd
Ste 205
Shelton, CT 06484
Phone (203) 922-9466

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

999 Silver Ln
Fl 1
Trumbull, CT 06611

5520 Park Ave
Ste 200
Trumbull, CT 06611

999 Silver Ln
#1
Trumbull, CT 06611

Interoperability endpoints

  • Direct secure messaging: blawlor580882@direct.ynhh.org
  • Direct secure messaging: blawlor71980@direct.phhs.org

Organizations & group practices 5

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1659790293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246016",
            "telephone_number": "203-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246016",
            "telephone_number": "203-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "BRYAN",
        "middle_name": "T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CT",
            "license": "70120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.