Individual provider Active NPI

Joanna D Brown, PA-C

  • Physician Assistant
  • Bristol, CT
National Provider Identifier
1912529660
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
15 Riverside Ave
Bristol, CT 06010
Phone
(833) 424-3627
NPI assigned
May 15, 2020
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

15 Riverside Ave
Bristol, CT 06010

Mailing address

15 Riverside Ave
Bristol, CT 06010
Phone (860) 585-3333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jwojtun1@bristolhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730001869 CT Practitioner - Physician Assistant 8921423591 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

1111 Cromwell Ave
Suite 404
Rocky Hill, CT 06067-3455
Phone (860) 525-4469

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557

277 Middle Tpke W
Manchester, CT 06040-3834
Phone (860) 432-4640

31 Ensign Dr
Avon, CT 06001-3773
Phone (860) 525-4469

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgical Partners, PC CurrentSince May 1, 2025 Accepting new patients
Orthopedic Surgical Partners, P.C. Physician Assistant CurrentSince May 1, 2025 Accepting new patients

Locations

31 Ensign Dr
Avon, CT 06001
Phone (860) 409-9125

277 Middle Tpke W
Manchester, CT 06040
Phone (860) 432-4640

1111 Cromwell Ave
Ste 403
Rocky Hill, CT 06067

1111 Cromwell Ave
Ste 404
Rocky Hill, CT 06067
Phone 8605254469112

5 Founders St
Ste 202
Willimantic, CT 06226
Phone (860) 456-3997

Interoperability endpoints

  • Direct secure messaging: jwojtun1@bristolhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1912529660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RIVERSIDE AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-585-3333",
            "fax_number": "860-584-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RIVERSIDE AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "833-424-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOANNA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jwojtun1@bristolhealth.org",
            "affiliation": "N",
            "address_1": "15 Riverside Ave",
            "city": "Bristol",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.