Active NPIIndividual provider

Dr. Thomas Berenberg, MD

Ophthalmology, Retina Specialist in Waterbury, Connecticut

NPI Number1407084544
Practice location
1201 W Main St, Suite 100, Waterbury, CT 06708-3105
Fax
203-573-4805
Last updated
June 26, 2024

Thomas Berenberg is an Ophthalmology, Retina Specialist based in Waterbury, CT. Thomas Berenberg practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Thomas Berenberg is 1407084544 and holds a License No. 054581 (CT). The current practice location address for Thomas Berenberg is 1201 W Main St, Suite 100, Waterbury, CT 06708-3105 and can be reached out via phone at 203-573-4803 and via fax at 203-573-4805.

Provider Profile Details

NPI Number
1407084544
Provider Name
Thomas Berenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1201 W Main St, Suite 100, Waterbury, CT 06708-3105
Phone Number
203-573-4803
Fax Number
203-573-4805
Primary Taxonomy
Ophthalmology, Retina Specialist · 207WX0107X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2009
Last Update Date
June 26, 2024
Certification Date
June 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1201 W Main St
Suite 100
Waterbury, CT 06708-3105
Zip
06708-3105
Phone Number
203-573-4803
Fax Number
203-573-4805
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
1201W Main St 100
Waterbury, CT 06708-3105
City
Waterbury
State
CT
Zip
06708-3105
Phone Number
203-573-4803
Fax Number
203-573-4805

License Information

License Number (1)
054581
License State (1)
CT
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
054581
License State (2)
CT
Taxonomy (2)
Ophthalmology, Retina Specialist · 207WX0107X · 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. Thomas Berenberg, MD?

The NPI number of Dr. Thomas Berenberg, MD is 1407084544. It was assigned on June 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas Berenberg, MD?

Dr. Thomas Berenberg, MD is registered under the primary taxonomy Ophthalmology, Retina Specialist (code 207WX0107X), licensed in CT under license number 054581.

Where does Dr. Thomas Berenberg, MD practice?

The practice location is 1201 W Main St, Suite 100, Waterbury, CT 06708-3105. The office can be reached at 203-573-4803 (phone) or 203-573-4805 (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 1407084544 directly on the NPPES registry website.

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