NPIMap

Organization Active NPI

Michael P. Bernstein, MD

  • Otolaryngology Physician
  • Enfield, CT
National Provider Identifier
1134413826
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
027001 Issued in CT
Legal business name
MICHAEL P. BERNSTEIN, MD
Practice address
146 Hazard Ave
Suite 204
Enfield, CT 06082-4571
Phone
(860) 763-3243
Fax
(860) 763-3244
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael P Bernstein, M.D.
Title
Owner
Phone
(860) 763-3243

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X 027001 CT Primary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 000396 CT
Speech/Language/Hearing Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235500000X 000396 CT
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X 000396 CT
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X 000396 CT
Durable Medical Equipment & Medical Supplies 332B00000X 000396 CT
Hearing Aid Equipment 332S00000X 000396 CT
Prosthetic/Orthotic Supplier 335E00000X 000396 CT

Addresses

Primary practice location

146 Hazard Ave
Suite 204
Enfield, CT 06082-4571

Mailing address

146 Hazard Ave
Suite 204
Enfield, CT 06082-4571
Phone (860) 763-3243

Other identifiers 1

IdentifierTypeStateIssuer
001270016MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1134413826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE",
            "address_2": "SUITE 204",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824571",
            "telephone_number": "860-763-3243",
            "fax_number": "860-763-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE",
            "address_2": "SUITE 204",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824571",
            "telephone_number": "860-763-3243",
            "fax_number": "860-763-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. BERNSTEIN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-763-3243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "027001",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000396",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": "CT",
            "license": "000396",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "000396",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": "000396",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "000396",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "CT",
            "license": "000396",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": "000396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001270016",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.