Active NPI
Michael Alan Fischman, M.D.
- Urology Physician
- Bristol, CT
National Provider Identifier
1902848773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 029272
- Practice address
- 8 Collins Rd
Bristol, CT 06010-3843 - Phone
- (860) 585-6944
- Fax
- (860) 585-7746
- NPI assigned
- Jun 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 029272 | CT | Primary |
| Surgery Physician | 208600000X | 029272 | CT |
Addresses
Primary practice location
8 Collins Rd
Bristol, CT 06010-3843
Mailing address
8 Collins Rd
Bristol, CT 06010-3843
Phone (860) 585-6944
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029272 | CT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Urologic Associates PC | Urology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urology Physician
- Bristol, CT
- NPI 1710015839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1902848773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 COLLINS RD",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060103843",
"telephone_number": "860-585-6944",
"fax_number": "860-585-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 COLLINS RD",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060103843",
"telephone_number": "860-585-6944",
"fax_number": "860-585-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHMAN",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "029272",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "029272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.