Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Rose Greenlaw

Individual provider Physician Assistant · NPI 1457047888

Bethany Rose Greenlaw is a Physician Assistant in Hartford, Connecticut. Qualified in 2023, 3 years ago. Practices with Hartford Hospital, a 1,040-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
Specialties on file
2

Practice location Address checks out

80 Seymour St
Hartford, CT 06106-3300
Phone: (860) 545-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6153 (CT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1457047888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hartford Hospital — 1040 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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