NPIMap

Individual provider Active NPI

William M Bradbury, MD,FACC

  • Cardiovascular Disease Physician
  • Putnam, CT
National Provider Identifier
1710989744
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
029771 Issued in CT
Practice address
37 Kennedy Dr Ste a
Putnam, CT 06260-1946
Phone
(860) 963-7519
Fax
(860) 963-0668
NPI assigned
Aug 10, 2005
Last updated
May 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 029771 CT Primary

Addresses

Primary practice location

37 Kennedy Dr Ste a
Putnam, CT 06260-1946

Mailing address

37 Kennedy Dr Ste a
Putnam, CT 06260-1946
Phone (860) 963-7519

Other identifiers 1

IdentifierTypeStateIssuer
001297713MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000660 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991718827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

37 Kennedy Dr
Suite a
Putnam, CT 06260-1960
Phone (860) 963-7519

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029771CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince May 15, 2016 Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Jan 31, 1994 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Jan 31, 1994 Accepting new patients
University Pathologists, LLC Current Accepting new patients
Day Kimball Healthcare, Inc. Current Accepting new patients

Locations

11 South Rd
Ste 130
Farmington, CT 06032
Phone (860) 224-5360

584 Norwich Rd
Ste 400
Plainfield, CT 06374
Phone (860) 455-3945

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

37 Kennedy Dr
Putnam, CT 06260
Phone (860) 450-7471

37 Kennedy Dr
Ste A
Putnam, CT 06260
Phone (860) 963-6328

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • Direct secure messaging: william.bradbury@xdr.hhchealthdirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1710989744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KENNEDY DR STE A",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601946",
            "telephone_number": "860-963-7519",
            "fax_number": "860-963-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KENNEDY DR STE A",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601946",
            "telephone_number": "860-963-7519",
            "fax_number": "860-963-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD,FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "029771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001297713",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.