DR. BRUCE M VINOKUR D.P.M. NPI 1487603346

NPI Information

NPI: 1487603346
Provider Name: DR. BRUCE M VINOKUR, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
1211 W MAIN ST
WATERBURY, CT
ZIP 06708
Phone: (203) 755-2050
Get Directions

DR. Bruce M Vinokur, D.P.M. is a foot surgery podiatrist in Waterbury, CT. DR. Bruce M Vinokur, D.P.M. NPI is 1487603346. 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:

1211 W MAIN ST
WATERBURY, CT
ZIP 06708-106
Phone: (203) 755-2050
Fax: (203) 755-0131

The NPI 1487603346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/9/2006 and was last updated on 8/21/2012.

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	213E00000X	Podiatrist		000214	CONNECTICUT	No
2	213ES0131X	Podiatrist	Foot Surgery	CT000214	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	061060793003	OTHER	CONNECTICUT	CIGNA
2	030000214CT01	OTHER	CONNECTICUT	BLUE CROSS BLUE SHIELD
3	C00120	MEDICARE PIN	CONNECTICUT
4	480000354	MEDICARE PIN	CONNECTICUT
5	ORO931	OTHER	CONNECTICUT	ACS HEALTHNET
6	004068821	MEDICAID	CONNECTICUT
7	PBW42	OTHER	CONNECTICUT	EMPIRE BLUECROSS
8	061060793	OTHER	CONNECTICUT	UNITED HEALTH CARE
9	508844	OTHER	CONNECTICUT	AETNA
10	NHS348	OTHER	CONNECTICUT	OXFORD
11	T22139	MEDICARE UPIN	CONNECTICUT
12	760794	OTHER	CONNECTICUT	CONNECTICARE
13	4700850001	MEDICARE NSC	CONNECTICUT

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: 4/28/2024

NPI Synchronization or Removal

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