Bristol-Burlington Health District

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

BRISTOL-BURLINGTON HEALTH DISTRICT

Practice address

240 Stafford Ave
Bristol, CT 06010-4682

Phone

(860) 584-7682

Fax

(860) 584-3814

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles I. Motes, MS, MPH, RS

Title

Director of Health

Phone

(860) 584-7682

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Alison Loomis, MD

  • Pediatrics Physician
  • Bristol, CT
  • NPI 1780668012
  Medicare reassignment NPD
• Barbara Lozier, RDH

  • Dental Hygienist
  • Bristol, CT
  • NPI 1205490851
  NPD (past)
• Misty Masotti-Diakon, RDH

  • Dental Hygienist
  • Bristol, CT
  • NPI 1831753235

  Single Specialty

  NPD (past)
• Marlena Wollman, RDH

  • Dental Hygienist
  • Bristol, CT
  • NPI 1801450325
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1790743037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 STAFFORD AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104682",
            "telephone_number": "860-584-7682",
            "fax_number": "860-584-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 STAFFORD AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104682",
            "telephone_number": "860-584-7682",
            "fax_number": "860-584-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL-BURLINGTON HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "MOTES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "860-584-7682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MPH, RS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bristol SNF Operations, LLC
• Bristol SNF Operations, LLC
• Bristol Surgical Group, P.C.
• Bristol Urologic Associates PC
• Bristol Your Eyes
• Margaret Archer Brock, LMSW
• Anthony Brockington, DPM
• Joanna D Brown, PA-C
• Stephanie Jane Brown, LCSW
• William J Brownstein, MD

• Public Health or Welfare Agency in Bristol, CT
• Providers in Bristol, CT by specialty
• Public Health or Welfare Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.