BRISTOL RADIATION ONCOLOGY CENTER – NPI #1467414169
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

BRISTOL RADIATION ONCOLOGY CENTER is a radiologist located in BRISTOL, CT. NPPES has assigned the NPI number 1467414169 to BRISTOL RADIATION ONCOLOGY CENTER on April 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRISTOL RADIATION ONCOLOGY CENTER below.

NPI Profile for
BRISTOL RADIATION ONCOLOGY CENTER

NPI Number
1467414169
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRISTOL RADIATION ONCOLOGY CENTER
Primary location
25 NEWELL RD
SUITE C11
BRISTOL, CT 06010-5100
Phone: (860) 582-9800 Fax:
Mailing address
PO BOX 689
BOALSBURG, PA 16827-0689
Phone: (814) 237-8627 Fax: (814) 238-0083
Organization Subpart
No
Authorized Official
JEFFREY BITTERMAN
PRESIDENT
Phone: (814) 237-8627
Updated
Identifiers

Identifiers for BRISTOL RADIATION ONCOLOGY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM BCBSCT50BRADONCCT01
MEDICAIDCT001391606
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)
CT

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.