Active NPIIndividual provider

Dr. Edward R Nemergut, MD

Internal Medicine in Willimantic, Connecticut

NPI Number1508810201
Practice location
112 Mansfield Ave, Willimantic, CT 06226-2041
Fax
860-456-6771
Last updated
July 13, 2026

Edward Robert Nemergut is an Internal Medicine based in Willimantic, CT. Edward Robert Nemergut practices in Willimantic, CT and has the professional credentials of MD. The NPI Number for Edward Robert Nemergut is 1508810201 and holds a License No. 027803 (CT). The current practice location address for Edward Robert Nemergut is 112 Mansfield Ave, Willimantic, CT 06226-2041 and can be reached out via phone at 860-456-6715 and via fax at 860-456-6771.

Provider Profile Details

NPI Number
1508810201
Provider Name
Edward Robert Nemergut
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
112 Mansfield Ave, Willimantic, CT 06226-2041
Phone Number
860-456-6715
Fax Number
860-456-6771
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Mansfield Ave
Willimantic, CT 06226-2041
Zip
06226-2041
Phone Number
860-456-6715
Fax Number
860-456-6771
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
990 Chapel St
Stratford, CT 06614-1645
City
Stratford
State
CT
Zip
06614-1645
Phone Number
203-378-9701

License Information

License Number (1)
027803
License State (1)
CT
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
027803
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · 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. Edward R Nemergut, MD?

The NPI number of Dr. Edward R Nemergut, MD is 1508810201. It was assigned on May 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edward R Nemergut, MD?

Dr. Edward R Nemergut, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 027803.

Where does Dr. Edward R Nemergut, MD practice?

The practice location is 112 Mansfield Ave, Willimantic, CT 06226-2041. The office can be reached at 860-456-6715 (phone) or 860-456-6771 (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 1508810201 directly on the NPPES registry website.

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