NPI 1508285909 · live from the CMS NPI Registry
James David Bergene, MD
Anesthesiology in New Haven, CT. National Provider Identifier 1508285909, active.
NPI record
| NPI | 1508285909 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 55 Lock St, New Haven, CT 06511 |
| Practice phone | 203-688-8242 |
| Mailing address | Po Box 550, Torrington, WY 82240 |
| Enumerated | April 14, 2014 |
| Last updated | December 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | DR.0067337 (CO) |
| Anesthesiology | 207L00000X | MD61311598 (WA) |
| Anesthesiology | 207L00000X | 11718A (WY) |
| Anesthesiology primary | 207L00000X | 79105 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.