Individual provider Active NPI

Alison Bruns, PA-C

  • Physician Assistant
  • Rocky Hill, CT
National Provider Identifier
1972267987
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5452 Issued in CT
Practice address
1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067-3455
Phone
(860) 525-4469
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 5452 CT Primary

Addresses

Primary practice location

1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067-3455

Mailing address

20 Liberty SQ Apt 379
Bloomfield, CT 06002-5422
Phone (860) 818-4608

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
I20211201000080 CT Practitioner - Physician Assistant 5092105312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgical Partners, P.C.Group PAC ID 1355394115, 29 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

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

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

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

5 Founders St
Suite 202
Willimantic, CT 06226-2052
Phone (860) 456-3997

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5452CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgical Partners, PC CurrentSince Nov 15, 2021 Accepting new patients
Orthopedic Surgical Partners, P.C. Single Specialty CurrentSince Nov 15, 2021 Accepting new patients

Locations

31 Ensign Dr
Ste 101
Avon, CT 06001
Phone (860) 751-6039

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

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

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.

Hospital & facility affiliations 2

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1972267987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LIBERTY SQ APT 379",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060025422",
            "telephone_number": "860-818-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 404",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673455",
            "telephone_number": "860-525-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "ALISON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.