Active NPIIndividual provider

David J Peregrim, PA-C

Physician Assistant, Medical in Bridgeport, Connecticut

NPI Number1295141349
Practice location
267 Grant St, Bridgeport, CT 06610-2805
Fax
203-384-3713
Last updated
July 9, 2014

David James Peregrim is a Physician Assistant, Medical based in Bridgeport, CT. David James Peregrim practices in Bridgeport, CT and has the professional credentials of PA-C. The NPI Number for David James Peregrim is 1295141349 and holds a License No. 3125 (CT). The current practice location address for David James Peregrim is 267 Grant St, Bridgeport, CT 06610-2805 and can be reached out via phone at 203-384-3923 and via fax at 203-384-3713.

Provider Profile Details

NPI Number
1295141349
Provider Name
David James Peregrim
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
267 Grant St, Bridgeport, CT 06610-2805
Phone Number
203-384-3923
Fax Number
203-384-3713
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 9, 2014
Last Update Date
July 9, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport, CT 06610-2805
Zip
06610-2805
Phone Number
203-384-3923
Fax Number
203-384-3713
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
267 Grant St
Bridgeport, CT 06610-2805
City
Bridgeport
State
CT
Zip
06610-2805
Phone Number
203-384-3923
Fax Number
203-384-3713

License Information

License Number
3125
License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 David J Peregrim, PA-C?

The NPI number of David J Peregrim, PA-C is 1295141349. It was assigned on July 9, 2014 and is currently active in the NPPES registry.

What is the specialty of David J Peregrim, PA-C?

David J Peregrim, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3125.

Where does David J Peregrim, PA-C practice?

The practice location is 267 Grant St, Bridgeport, CT 06610-2805. The office can be reached at 203-384-3923 (phone) or 203-384-3713 (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 1295141349 directly on the NPPES registry website.

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