Active NPI
David Bruce Walshin, M.D.
- Physical Medicine & Rehabilitation Physician
- Stamford, CT
National Provider Identifier
1679566384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 034578
- Practice address
- 1425 Bedford St Apt 4H
Stamford, CT 06905-5216 - Phone
- (203) 352-1217
- Fax
- (203) 902-0152
- NPI assigned
- Aug 26, 2005
- Reactivated
- Mar 31, 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 034578 | CT | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001345786 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081111000677 | CT | Practitioner - Physical Medicine and Rehabilitation | 8820157480 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- State University of New York Downstate Medical Center, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1425 Bedford St
Apt 4H
Stamford, CT 06905-5216
Phone (203) 352-1217
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034578 | CT | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David B. Walshin, M.D., P.C. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
78 Harvard Ave
Ste 310
Stamford, CT 06902
Phone (203) 352-1217
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Stamford, CT
- NPI 1376797837
CT, Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1679566384",
"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": {
"last_name": "WALSHIN",
"first_name": "DAVID",
"middle_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"deactivation_date": "2006-03-27",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CT",
"license": "034578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001345786",
"state": "CT"
}
],
"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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.