Barry Stewart Feldman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

025192 Issued in CT

Practice address

36 Clark LN
Waterford, CT 06385-2310

Phone

(860) 442-5565

Fax

(860) 444-2673

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shoreline Family Practice LLP

  • Family Medicine Physician
  • Waterford, CT
  • NPI 1205943081
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1366555997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CLARK LN",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852310",
            "telephone_number": "860-442-5565",
            "fax_number": "860-444-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CLARK LN",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852310",
            "telephone_number": "860-442-5565",
            "fax_number": "860-444-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "BARRY",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "025192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lyn Esposito, RPT
• Amanda Evans
• Ewcw LLC
• Elizabeth Fague
• Stephen F. Fedus III, O.D.
• Mark N Fiengo, DO
• Sandra M Fine, LCSW
• Ethan L Finn, DPT
• William D. Foreman, L.O.
• Bethany Forshaw, MS, ATC

• Family Medicine Physician in Waterford, CT
• Providers in Waterford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.