Individual provider Active NPI

Randolph Lee Trowbridge, MD

  • Physical Medicine & Rehabilitation Physician
  • Danbury, CT
National Provider Identifier
1720098247
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
030869 Issued in CT
Practice address
22 Eagle Rd
Danbury, CT 06810-4129
Phone
(203) 778-8326
Fax
(203) 792-9170
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 030869 CT Primary

Addresses

Primary practice location

22 Eagle Rd
Danbury, CT 06810-4129

Mailing address

22 Eagle Rd
Danbury, CT 06810-4129
Phone (203) 778-8326

Other identifiers 2

IdentifierTypeStateIssuer
010030869CT02OtherCTBLUE CROSS
2V6141OtherCTHEALTH NET

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
I20050106000194 CT Practitioner - Physical Medicine and Rehabilitation 7810955861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehab PCGroup PAC ID 5496713448, 7 clinicians

Practice addresses (Care Compare)

22 Eagle Rd
Danbury, CT 06810-4129
Phone (203) 778-8326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030869CTMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehab PC CurrentSince Feb 1, 2005 Accepting new patients

Locations

22 Eagle Rd
Danbury, CT 06810
Phone (203) 218-5303

67 Sand Pit Rd
Ste 301
Danbury, CT 06810
Phone (203) 778-8326

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1720098247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 EAGLE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104129",
            "telephone_number": "203-778-8326",
            "fax_number": "203-792-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 EAGLE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104129",
            "telephone_number": "203-778-8326",
            "fax_number": "203-792-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROWBRIDGE",
        "first_name": "RANDOLPH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "030869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010030869CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V6141",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.