Active NPI
David B. Walshin, M.D., P.C.
- Physical Medicine & Rehabilitation Physician
- Stamford, CT
National Provider Identifier
1376797837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- DAVID B. WALSHIN, M.D., P.C.
- Practice address
- 1425 Bedford St Apt 4H
Stamford, CT 06905-5216 - Phone
- (203) 352-1217
- Fax
- (203) 902-0152
- NPI assigned
- Nov 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Bruce Walshin, MD
- Title
- President/Owner
- Phone
- (203) 352-1217
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1425 Bedford St Apt 4H
Stamford, CT 06905-5216
Mailing address
1425 Bedford St Apt 4H
Stamford, CT 06905-5216
Phone (203) 352-1217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081111000686 | CT | Part B Supplier - Clinic/Group Practice | 7810056470 |
Receives reassigned benefits from 1 practitioner Practice locations: Stamford, CT |
National Provider Directory
National Provider DirectoryLocations
78 Harvard Ave
Ste 310
Stamford, CT 06902
Phone (203) 352-1217
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Stamford, CT
- NPI 1679566384
CT, Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720137600000",
"number": "1376797837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 BEDFORD ST APT 4H",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055216",
"telephone_number": "203-352-1217",
"fax_number": "203-902-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 BEDFORD ST APT 4H",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055216",
"telephone_number": "203-352-1217",
"fax_number": "203-902-0152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID B. WALSHIN, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-11",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A",
"authorized_official_last_name": "WALSHIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "203-352-1217",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.