Miriam S Buckberg, MD
Internal Medicine in Enfield, Connecticut
1578549010- Practice location
- 701 Enfield Street, Enfield, CT 06082
- Phone
- 860-741-6058
- Fax
- 860-253-9326
- Last updated
- May 15, 2026
Miriam S. Buckberg is an Internal Medicine based in Enfield, CT. Miriam S. Buckberg practices in Enfield, CT and has the professional credentials of MD. The NPI Number for Miriam S. Buckberg is 1578549010 and holds a License No. 64731 (CT). The current practice location address for Miriam S. Buckberg is 701 Enfield Street, Enfield, CT 06082 and can be reached out via phone at 860-741-6058 and via fax at 860-253-9326.
Provider Profile Details
- NPI Number
- 1578549010
- Provider Name
- Miriam S. Buckberg
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 701 Enfield Street, Enfield, CT 06082
- Phone Number
- 860-741-6058
- Fax Number
- 860-253-9326
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Other Names
- Melinda S. Shadowitz, MD (Former Name)
- Provider Enumeration Date
- December 16, 2005
- Last Update Date
- May 15, 2026
- Certification Date
- May 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 701 Enfield Street
Enfield, CT 06082 - City
- Enfield
- State
- Connecticut
- Zip
- 06082
- Phone Number
- 860-741-6058
- Fax Number
- 860-253-9326
Provider Business Mailing Address Details
- Address
- 280 Chestnut St Fl 2
Springfield, MA 01199-1001 - City
- Springfield
- State
- MA
- Zip
- 01199-1001
- Phone Number
- 413-794-5700
- Fax Number
- 413-794-1629
License Information
- License Number (1)
- 64731
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 251720
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Enfield, CT
View all Internal Medicine providers in Enfield →Frequently Asked Questions
What is the NPI number of Miriam S Buckberg, MD?
The NPI number of Miriam S Buckberg, MD is 1578549010. It was assigned on December 16, 2005 and is currently active in the NPPES registry.
What is the specialty of Miriam S Buckberg, MD?
Miriam S Buckberg, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 64731.
Where does Miriam S Buckberg, MD practice?
The practice location is 701 Enfield Street, Enfield, CT 06082. The office can be reached at 860-741-6058 (phone) or 860-253-9326 (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 1578549010 directly on the NPPES registry website.