Bruce A Berlow, MD
Specialist in Mystic, Connecticut
1720065154- Practice location
- 23 Clara Dr, Suite 204, Mystic, CT 06355-1959
- Phone
- 860-536-2995
- Fax
- 860-572-0265
- Last updated
- July 13, 2026
Bruce A. Berlow is a Specialist based in Mystic, CT. Bruce A. Berlow practices in Mystic, CT and has the professional credentials of MD. The NPI Number for Bruce A. Berlow is 1720065154 and holds a License No. 036951 (CT). The current practice location address for Bruce A. Berlow is 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 and can be reached out via phone at 860-536-2995 and via fax at 860-572-0265.
Provider Profile Details
- NPI Number
- 1720065154
- Provider Name
- Bruce A. Berlow
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 23 Clara Dr, Suite 204, Mystic, CT 06355-1959
- Phone Number
- 860-536-2995
- Fax Number
- 860-572-0265
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 28, 2005
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23 Clara Dr
Suite 204
Mystic, CT 06355-1959 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-1959
- Phone Number
- 860-536-2995
- Fax Number
- 860-572-0265
Provider Business Mailing Address Details
- Address
- 23 Clara Dr
Suite 204
Mystic, CT 06355-1959 - City
- Mystic
- State
- CT
- Zip
- 06355-1959
- Phone Number
- 860-536-2995
- Fax Number
- 860-572-0265
License Information
- License Number
- 036951
- License State
- CT
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bruce A Berlow, MD?
The NPI number of Bruce A Berlow, MD is 1720065154. It was assigned on December 28, 2005 and is currently active in the NPPES registry.
What is the specialty of Bruce A Berlow, MD?
Bruce A Berlow, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 036951.
Where does Bruce A Berlow, MD practice?
The practice location is 23 Clara Dr, Suite 204, Mystic, CT 06355-1959. The office can be reached at 860-536-2995 (phone) or 860-572-0265 (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 1720065154 directly on the NPPES registry website.