Active NPI
Brian T Girard, D.O.
- Diagnostic Radiology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 55012
- Practice address
- 20 York St
Ynhh Tompkins 2, RM 226
New Haven, CT 06510-3220 - Phone
- (203) 688-9503
- NPI assigned
- Apr 28, 2006
- Last updated
- Jul 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001255 | CT | |
| Surgical Physician Assistant | 363AS0400X | 001255 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | 55012 | CT | Primary |
| Diagnostic Radiology Physician | 2085R0202X | LT-3705 | NH |
Addresses
Primary practice location
20 York St
Ynhh Tompkins 2, RM 226
New Haven, CT 06510-3220
Mailing address
20 York St
Ynhh Tompkins 2, RM 226
New Haven, CT 06510-3220
Phone (203) 688-9503
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0R0365 | Other | HEALTHNET | |
| 060911608 | Other | HMC | |
| 711609 | Other | CT CARE | |
| 87986 | Other | AETNA | |
| 290001255CT01 | Other | ANTHEM | |
| A437740 | Other | OXFORD | |
| 51124 | Other | AIM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Philadelphia College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
134 Grandview Ave
Suite 101
Waterbury, CT 06708-2507
Phone 2035969793254
20 York St
New Haven, CT 06510-3220
Phone (203) 688-2433
32 Poverty Rd
Suite B
Southbury, CT 06488-2386
Phone (203) 262-6797
Hospital & facility affiliations
- Waterbury Hospital
- Yale-New Haven Hospital
- Bridgeport Hospital
- Griffin Hospital
- Saint Mary's Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.52 of 100
- Quality
- 56.11
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001255 | CT | MD | Psychologist |
| 55012 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Valley Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Diagnostic Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
1579 Straits Tpke
Middlebury, CT 06762
Phone (203) 577-2002
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
32 Poverty Rd
Ste B
Southbury, CT 06488
Phone (203) 262-6797
134 Grandview Ave
Ste 101
Waterbury, CT 06708
Phone 2035969793254
140 Grandview Ave
Ste 202
Waterbury, CT 06708
Phone 2035969793254
140 Grandview Ave
Ste 204
Waterbury, CT 06708
Phone (203) 262-6797
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiology Clinic/Center
- Waterbury, CT
- NPI 1700837374
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Naugatuck, CT
- NPI 1366493926
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1730146135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST",
"address_2": "YNHH TOMPKINS 2, RM 226",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"address_2": "YNHH TOMPKINS 2, RM 226",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRARD",
"first_name": "BRIAN",
"middle_name": "T",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "001255",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "001255",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "55012",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "LT-3705",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0R0365",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMC",
"identifier": "060911608",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT CARE",
"identifier": "711609",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "87986",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "290001255CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A437740",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AIM",
"identifier": "51124",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.