DR. BRUCE S. SHAMES M.D. NPI 1154320232

NPI Information

NPI: 1154320232
Provider Name: DR. BRUCE S. SHAMES, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
761 MAIN AVE
SUITE 102
NORWALK, CT
ZIP 06851
Phone: (203) 810-4151
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DR. Bruce S. Shames, M.D. is a specialist in Norwalk, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Bruce S. Shames, M.D. NPI is 1154320232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

761 MAIN AVE
SUITE 102
NORWALK, CT
ZIP 06851-080
Phone: (203) 810-4151
Fax: (203) 810-4151

The enumeration date for this NPI number is 7/20/2005 and was last updated on 3/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ND0900X	Dermatology	Dermatopathology	179433-1	NEW YORK	No
2	174400000X	Specialist		43924	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E72963	MEDICARE UPIN	NEW YORK
2	10U202	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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