Organization Active NPI

Robert Bruce Tross MD PC

  • Plastic Surgery Physician
  • Madison, CT
National Provider Identifier
1871802900
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
022611 Issued in CT
Legal business name
ROBERT BRUCE TROSS MD PC
Practice address
149 Durham Rd
Suite 25
Madison, CT 06443-2677
Phone
(203) 318-3050
Fax
(203) 318-3048
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Robert Bruce Tross, MD
Title
President
Phone
(203) 318-3050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 022611 CT Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 022611 CT

Addresses

Primary practice location

149 Durham Rd
Suite 25
Madison, CT 06443-2677

Mailing address

149 Durham Rd
Suite 25
Madison, CT 06443-2677
Phone (203) 318-3050

Other names 1

  • Robert Bruce Tross MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1871802900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DURHAM RD",
            "address_2": "SUITE 25",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432677",
            "telephone_number": "203-318-3050",
            "fax_number": "203-318-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DURHAM RD",
            "address_2": "SUITE 25",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432677",
            "telephone_number": "203-318-3050",
            "fax_number": "203-318-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BRUCE TROSS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "TROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-318-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "022611",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CT",
            "license": "022611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Bruce Tross MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.