Active NPI
Sherman M Bull, MD
- Surgery Physician
- Stamford, CT
National Provider Identifier
1629131347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 013695
- Practice address
- 1351 Washington Blvd
6TH Floor
Stamford, CT 06902-2419 - Phone
- (203) 276-5959
- Fax
- (203) 276-5969
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 013695 | CT | Primary |
Addresses
Primary practice location
1351 Washington Blvd
6TH Floor
Stamford, CT 06902-2419
Mailing address
1351 Washington Blvd
6TH Floor
Stamford, CT 06902-2419
Phone (203) 276-5959
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013695 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield County Surgical Specialists, PC | Surgery | Past | Accepting new patients |
| Stamford Surgical Associates, LLC | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Stamford, CT
- NPI 1780712125
-
- Surgery Physician
- Stamford, CT
- NPI 1992832737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1629131347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 WASHINGTON BLVD",
"address_2": "6TH FLOOR",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022419",
"telephone_number": "203-276-5959",
"fax_number": "203-276-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 WASHINGTON BLVD",
"address_2": "6TH FLOOR",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022419",
"telephone_number": "203-276-5959",
"fax_number": "203-276-5969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULL",
"first_name": "SHERMAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "013695",
"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 Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.