Organization Active NPI

David B. Walshin, M.D., P.C.

  • Physical Medicine & Rehabilitation Physician
  • Stamford, CT
National Provider Identifier
1376797837
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Dr. David Bruce Walshin, MDNPI 1679566384
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20081111000686 CT Part B Supplier - Clinic/Group Practice 7810056470 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.