Active NPI
Stephen D. Elgert, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Bedford, NH
National Provider Identifier
1164425641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 6668
- Practice address
- 15 Constitution Dr
Elliot Family Medicine at Bedford Village
Bedford, NH 03110-6042 - Phone
- (603) 472-7233
- Fax
- (603) 472-9188
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 6668 | NH | Primary |
Addresses
Primary practice location
15 Constitution Dr
Elliot Family Medicine at Bedford Village
Bedford, NH 03110-6042
Mailing address
15 Constitution Dr
Elliot Family Medicine at Bedford Village
Bedford, NH 03110-6042
Phone (603) 472-7233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80300001 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1164425641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CONSTITUTION DR",
"address_2": "ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106042",
"telephone_number": "603-472-7233",
"fax_number": "603-472-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CONSTITUTION DR",
"address_2": "ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106042",
"telephone_number": "603-472-7233",
"fax_number": "603-472-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGERT",
"first_name": "STEPHEN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NH",
"license": "6668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80300001",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.