Active NPIIndividual provider

Dr. Marilyn A Bacon, MD

Pediatrics, Adolescent Medicine in Windsor, Connecticut

NPI Number1659349835
Practice location
820C Prospect Hill RD, Windsor, CT 06095
Fax
860-687-1774
Last updated
July 13, 2026

Marilyn A Bacon is a Pediatrics, Adolescent Medicine based in Windsor, CT. Marilyn A Bacon practices in Windsor, CT and has the professional credentials of MD. The NPI Number for Marilyn A Bacon is 1659349835 and holds a License No. 017505 (CT). The current practice location address for Marilyn A Bacon is 820C Prospect Hill RD, Windsor, CT 06095 and can be reached out via phone at 860-285-8251 and via fax at 860-687-1774.

Provider Profile Details

NPI Number
1659349835
Provider Name
Marilyn A Bacon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
820C Prospect Hill RD, Windsor, CT 06095
Phone Number
860-285-8251
Fax Number
860-687-1774
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
March 14, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
820C Prospect Hill RD
Windsor, CT 06095
Zip
06095
Phone Number
860-285-8251
Fax Number
860-687-1774
Windsor, CT 06095Get directions →

Provider Business Mailing Address Details

Address
345 N Main St
Ste 248
West Hartford, CT 06117
City
West Hartford
State
CT
Zip
06117
Phone Number
860-231-8453
Fax Number
860-523-4061

License Information

License Number
017505
License State
CT
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marilyn A Bacon, MD?

The NPI number of Dr. Marilyn A Bacon, MD is 1659349835. It was assigned on March 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Marilyn A Bacon, MD?

Dr. Marilyn A Bacon, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in CT under license number 017505.

Where does Dr. Marilyn A Bacon, MD practice?

The practice location is 820C Prospect Hill RD, Windsor, CT 06095. The office can be reached at 860-285-8251 (phone) or 860-687-1774 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659349835 directly on the NPPES registry website.

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