Active NPI
Sarah-Anne M Bruno, DC
- Chiropractor
- Groton, CT
National Provider Identifier
1871785147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001719
- Practice address
- 495 Gold Star Hwy Ste 324
Groton, CT 06340-6230 - Phone
- (860) 445-5000
- Fax
- (800) 948-0609
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00519 | RI | |
| Chiropractor | 111N00000X | 001719 | CT | Primary |
Addresses
Primary practice location
495 Gold Star Hwy Ste 324
Groton, CT 06340-6230
Mailing address
495 Gold Star Hwy Ste 324
Groton, CT 06340-6230
Phone (860) 445-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090623000277 | CT | Practitioner - Chiropractic | 2668551714 | Practice locations: Groton, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
495 Gold Star Hwy
Suite 324
Groton, CT 06340
495 Gold Star Hwy
Suite 324
Groton, CT 06340-6230
Phone (860) 445-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DCP00519 | RI | MD | Chiropractor |
| 001719 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherry Morrissette DC,Professional Corporation | Past | Accepting new patients | |
| Thomas H. Walter DPM, Inc. | Past | Accepting new patients | |
| Orthopedic Surgeons LTD | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12934/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Podiatrist
- Pawcatuck, CT
- NPI 1023208360
-
- Orthopaedic Surgery Physician
- Camp Hill, PA
- NPI 1386620755
-
- Neurology Chiropractor
- West Greenwich, RI
- NPI 1730206046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1871785147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 GOLD STAR HWY STE 324",
"city": "GROTON",
"state": "CT",
"postal_code": "063406230",
"telephone_number": "860-445-5000",
"fax_number": "800-948-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 GOLD STAR HWY STE 324",
"city": "GROTON",
"state": "CT",
"postal_code": "063406230",
"telephone_number": "860-445-5000",
"fax_number": "800-948-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "SARAH-ANNE",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00519",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.