Individual provider Active NPI

Bradford Alan Newman, O.D

  • Optometrist
  • Bloomfield, CT
National Provider Identifier
1942272737
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000874 Issued in CT
Practice address
38 Tunxis Ave
Suite 1
Bloomfield, CT 06002-2034
Phone
(860) 243-2508
Fax
(860) 243-9332
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000874 CT Primary

Addresses

Primary practice location

38 Tunxis Ave
Suite 1
Bloomfield, CT 06002-2034

Mailing address

38 Tunxis Ave
Suite 1
Bloomfield, CT 06002-2034
Phone (860) 243-2508

Other identifiers 1

IdentifierTypeStateIssuer
004024741MedicaidCT

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000082 CT Practitioner - Optometry 8527009802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor Pavano and AssociatesGroup PAC ID 2264524628, 3 clinicians

Practice addresses (Care Compare)

198 E Main St
New Britain, CT 06051-1915
Phone (860) 223-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Armory Eyecare LLC CurrentSince Jul 24, 2020 Accepting new patients
Your Eyes of New Britain PastSince Mar 1, 2015 Accepting new patients

Locations

836 Farmington Ave
Ste 121
West Hartfrd, CT 06119
Phone (860) 233-2346

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1942272737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 TUNXIS AVE",
            "address_2": "SUITE 1",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022034",
            "telephone_number": "860-243-2508",
            "fax_number": "860-243-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TUNXIS AVE",
            "address_2": "SUITE 1",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022034",
            "telephone_number": "860-243-2508",
            "fax_number": "860-243-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "BRADFORD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004024741",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.