NPIMap

Individual provider Active NPI

Bert L. Fichman, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lebanon, NH
National Provider Identifier
1508866716
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
14161 Issued in NH
Practice address
1 Medical Center Dr
DHMC Department of Pain Medicine
Lebanon, NH 03756-1000
Phone
(603) 650-6040
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 174943 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 14161 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
DHMC Department of Pain Medicine
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
DHMC Department of Pain Medicine
Lebanon, NH 03756-1000
Phone (603) 650-6040

Other identifiers 3

IdentifierTypeStateIssuer
1016441MedicaidVT
01337939MedicaidNY
30208698MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090710000087 NH Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7618967415 Reassigns benefits to 3 organizations
I20131204000082 VT Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Other (Physician) 7618967415 Reassigns benefits to 1 organization
I20220422000374 SC Practitioner - Pain Management 7618967415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Albany Medical College of Union University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (802) 748-8141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1988SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC Pain Medicine CurrentSince Oct 1, 2022 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Dec 5, 2011 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 22, 2009 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 22, 2009 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
The New London Hospital Association, Inc. CurrentSince Dec 5, 2011 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Oct 1, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jun 22, 2009 Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients
Cottage Hospital PastSince Feb 1, 2014 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Past Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

273 County Rd
New London, NH 03257
Phone (603) 526-5215

90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4040 Highway 17
Unit 206
Murrells Inlt, SC 29576
Phone (843) 652-1100

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1508866716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC DEPARTMENT OF PAIN MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC DEPARTMENT OF PAIN MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHMAN",
        "first_name": "BERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "174943",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NH",
            "license": "14161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016441",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01337939",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30208698",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.