Active NPIIndividual provider

Dr. Bruce S Shames, MD

Specialist in Norwalk, Connecticut

NPI Number1154320232
Practice location
761 Main Ave, Suite 102, Norwalk, CT 06851-1080
Fax
203-810-4151
Last updated
March 1, 2012

Bruce S. Shames is a Specialist based in Norwalk, CT. Bruce S. Shames practices in Norwalk, CT and has the professional credentials of MD. The NPI Number for Bruce S. Shames is 1154320232 and holds a License No. 179433-1 (NY). The current practice location address for Bruce S. Shames is 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 and can be reached out via phone at 203-810-4151 and via fax at 203-810-4151.

Provider Profile Details

NPI Number
1154320232
Provider Name
Bruce S. Shames
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
761 Main Ave, Suite 102, Norwalk, CT 06851-1080
Phone Number
203-810-4151
Fax Number
203-810-4151
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2005
Last Update Date
March 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
761 Main Ave
Suite 102
Norwalk, CT 06851-1080
Zip
06851-1080
Phone Number
203-810-4151
Fax Number
203-810-4151
Norwalk, CT 06851Get directions →

Provider Business Mailing Address Details

Address
761 Main Ave
Suite 102
Norwalk, CT 06851-1080
City
Norwalk
State
CT
Zip
06851-1080
Phone Number
203-810-4151
Fax Number
203-810-4151

License Information

License Number (1)
179433-1
License State (1)
NY
Taxonomy (1)
Dermatology, Dermatopathology · 207ND0900X
License Number (2)
43924
License State (2)
CT
Taxonomy (2)
Specialist · 174400000X · 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. Bruce S Shames, MD?

The NPI number of Dr. Bruce S Shames, MD is 1154320232. It was assigned on July 20, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Bruce S Shames, MD?

Dr. Bruce S Shames, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 179433-1.

Where does Dr. Bruce S Shames, MD practice?

The practice location is 761 Main Ave, Suite 102, Norwalk, CT 06851-1080. The office can be reached at 203-810-4151 (phone) or 203-810-4151 (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 1154320232 directly on the NPPES registry website.

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