BRUCE A. BERLOW M.D. NPI 1720065154
Specialist in Mystic, CT
About BRUCE A. BERLOW M.D.
Bruce Berlow is a provider established in Mystic, Connecticut and his medical specialization is Specialist. The NPI number of this provider is 1720065154 and was 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 16 years ago.
| NPI | 1720065154 |
| Provider Name | BRUCE A. BERLOW M.D. |
| Location Address | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 |
| Location Phone | (860) 536-2995 |
| Mailing Address | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | N/A |
| Enumeration Date | 12-28-2005 |
| Last Update Date | 07-08-2007 |
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 174400000X |
| Classification | Specialist |
| Type | Other Service Providers |
| License No. | 036951 |
| License State | CT |
| Taxonomy Description | An 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
23 CLARA DR
SUITE 204
MYSTIC, CT
ZIP 06355
Phone: (860) 536-2995
Fax: (860) 572-0265
Mailing Address
23 CLARA DR
SUITE 204
MYSTIC, CT
ZIP 06355
Phone: (860) 536-2995
Fax: (860) 572-0265
Location Map
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| A91550 | MEDICARE UPIN (02) |
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. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 6 | 5 | 1 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 6 | 10 | 1 | 10 | |
| 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 = 4 | 4 | ||||||||
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 Assistant | 23 CLARA DR MYSTIC, CT 06355 (860) 536-1666 |
| 1003001850 | MAIN MEDICAL-MYSTIC, LLC Organization | Internal Medicine | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1013195064 | MRS. LAURA ANN WHITE OTRL Individual | Occupational Therapist | 23 CLARA DR VISIONS SIGHT AND LEARNING CENTER MYSTIC, CT 06355 (860) 572-4805 |
| 1528236932 | MRS. GABRIELLE EDEN PIERCE PA-C Individual | Physician Assistant | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1467659227 | DR. ADRIENNE LYNNE MAROLD PARAD M.D. Individual | Family Medicine | 23 CLARA DR SUITE 203 MYSTIC, CT 06355 (860) 464-2028 |
| 1558406066 | DANIEL LEROY WAGGONER M.D. Individual | Allergy & Immunology | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 (860) 536-2995 |
| 1811109259 | COASTAL 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 |
| 1437611696 | DR. SUNGSIL CHO MD Individual | Family Medicine | 23 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, registered as an "individual" on December 28, 2005
Where is Bruce Berlow M.D. located?
The provider is located at 23 Clara Dr Suite 204 Mystic, Ct 06355 and the phone number is (860) 536-2995
Which is Bruce Berlow M.D. specialty?
The provider's speciality is Specialist
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?
The NPI record of Bruce Berlow M.D. 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]
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