BRUCE A. BERLOW M.D.
NPI 1720065154
Specialist in Mystic, CT

NPI Status: Active since December 28, 2005

Contact Information

23 CLARA DR
SUITE 204
MYSTIC, CT
ZIP 06355
Phone: (860) 536-2995
Fax: (860) 572-0265

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  • Individual
  • Male
  • Specialist

About BRUCE BERLOW

Bruce Berlow is a provider established in Mystic, Connecticut and his medical specialization is Specialist. The healthcare provider is registered in the NPI registry with number 1720065154 assigned on December 2005. The practitioner's primary taxonomy code is 174400000X with license number 036951 (CT). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI1720065154
Provider NameBRUCE A. BERLOW M.D.
Location Address23 CLARA DR SUITE 204 MYSTIC, CT 06355
Location Phone(860) 536-2995
Mailing Address23 CLARA DR SUITE 204 MYSTIC, CT 06355
GenderMale
Entity TypeIndividual
Is Sole Proprietor?N/A
Enumeration Date12-28-2005
Last Update Date07-08-2007
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Location Map

Mailing Address

23 CLARA DR
SUITE 204
MYSTIC, CT
ZIP 06355
Phone: (860) 536-2995
Fax: (860) 572-0265

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code174400000X
TypeOther Service Providers
License No.036951
License StateCT
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A91550MEDICARE UPIN (02) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720065154
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400610110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 6 + 1 + 0 + 1 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1720065154 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265656946 JENNIFER FELICELLI PA-C
Individual
Physician Assistant23 CLARA DR
MYSTIC, CT 06355
(860) 536-1666
1003001850MAIN MEDICAL-MYSTIC, LLC
Organization
Internal Medicine23 CLARA DR SUITE 201
MYSTIC, CT 06355
(860) 536-1666
1013195064MRS. LAURA ANN WHITE OTRL
Individual
Occupational Therapist23 CLARA DR VISIONS SIGHT AND LEARNING CENTER
MYSTIC, CT 06355
(860) 572-4805
1528236932MRS. GABRIELLE EDEN PIERCE PA-C
Individual
Physician Assistant23 CLARA DR SUITE 201
MYSTIC, CT 06355
(860) 536-1666
1467659227DR. ADRIENNE LYNNE MAROLD PARAD M.D.
Individual
Family Medicine23 CLARA DR SUITE 203
MYSTIC, CT 06355
(860) 464-2028
1558406066 DANIEL LEROY WAGGONER M.D.
Individual
Allergy & Immunology23 CLARA DR SUITE 204
MYSTIC, CT 06355
(860) 536-2995
1811109259COASTAL CHIROPRACTIC & FAMILY WELLNESS CENTRE
Organization
Chiropractor (Rehabilitation)23 CLARA DR SUITE 105
MYSTIC, CT 06355
(860) 572-7711
1891417242 DANIELLE PETROWSKI
Individual
Nurse Practitioner (Family)23 CLARA DR
MYSTIC, CT 06355
(860) 572-5782
1437611696DR. SUNGSIL CHO MD
Individual
Family Medicine23 CLARA DR
MYSTIC, CT 06355
(860) 572-5782

Frequently Asked Questions

What is Bruce Berlow M.D. NPI number?

The NPI number assigned to this healthcare provider is 1720065154, enumerated in the NPI registry as an "individual" on December 28, 2005

Where is the provider located?

The provider is located at 23 Clara Dr Suite 204 Mystic, Ct 06355 and the phone number is (860) 536-2995

What is the provider specialty code?

The provider's speciality is Specialist with taxonomy code 174400000X

What insurance does Bruce Berlow M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

How do I update my NPI information?

This NPI record was last updated on December 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.