Active NPI
Bridget Ann Martell, M.D.,M.A.
- Addiction Medicine (Internal Medicine) Physician
- New Haven, CT
National Provider Identifier
1891889010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 038302
- Practice address
- 20 York St.
Yale University Section of General Internal Medicine
New Haven, CT 06520 - Phone
- (203) 688-6532
- Fax
- (203) 688-1198
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 038302 | CT | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 221034-1 | NY |
Addresses
Primary practice location
20 York St.
Yale University Section of General Internal Medicine
New Haven, CT 06520
Mailing address
PO Box 208025
Yale University Section of General Internal Medicine
New Haven, CT 06520
Phone (203) 688-6532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221034-1 | NY | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masonicare Primary Care Physicians | Past | Accepting new patients | |
| Masonicare Behavioral Health, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Geriatric Psychiatry Physician
- Wallingford, CT
- NPI 1992781488
-
- Geriatric Medicine (Internal Medicine) Physician
- Wallingford, CT
- NPI 1922084540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1891889010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208025",
"address_2": "YALE UNIVERSITY SECTION OF GENERAL INTERNAL MEDICINE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06520",
"telephone_number": "203-688-6532",
"fax_number": "203-688-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST.",
"address_2": "YALE UNIVERSITY SECTION OF GENERAL INTERNAL MEDICINE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06520",
"telephone_number": "203-688-6532",
"fax_number": "203-688-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELL",
"first_name": "BRIDGET",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.,M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CT",
"license": "038302",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NY",
"license": "221034-1",
"primary": false
}
],
"identifiers": [],
"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 Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.