Individual provider Active NPI

Bernd Woerner, MD

  • Emergency Medicine Physician
  • Waterbury, CT
National Provider Identifier
1689658247
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
034802 Issued in CT
Practice address
64 Robbins St
Waterbury, CT 06708-2613
Phone
(203) 573-6295
Fax
(203) 573-7613
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 034802 CT Primary

Addresses

Primary practice location

64 Robbins St
Waterbury, CT 06708-2613

Mailing address

2928 Main St
Ste 101
Glastonbury, CT 06033-1007
Phone (203) 573-6295

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034802CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Urgent Care of Norwalk, LLC PastSince Jan 1, 2011 Accepting new patients
Waterbury Hospital Past Accepting new patients
WRK Ventures, LLC PastSince Jul 15, 2008 Accepting new patients
Urgent Care of Ridgefield, LLC PastSince Aug 1, 2011 Accepting new patients

Locations

1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

50 Beach Rd
Wolcott, CT 06716
Phone (203) 879-8066

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1689658247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 MAIN ST",
            "address_2": "STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331007",
            "telephone_number": "203-573-6295",
            "fax_number": "203-573-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-6295",
            "fax_number": "203-573-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOERNER",
        "first_name": "BERND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "034802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.