Christopher M Bulger, MD
Individual provider Active NPI Vascular Surgery Physician · South Windsor, CT
NPI 1700922218 · NPPES record last updated Feb 7, 2022
Key facts
- NPI
- 1700922218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 043351 (CT)
- Practice address
- 479 Buckland Rd FL 2
South Windsor, CT 06074-3739 - Phone
- (860) 288-7244
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043351 | CT | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilton Vascular Medical Group PC | Vascular Surgery | Current |
Accepting new patients |
| Surgical Specialties of Eastern CT LLC | Surgery | Past | Accepting new patients |
| VR Physician for Vein Restoration | Vascular Surgery | Past | Accepting new patients |
Locations
372 Danbury Rd
Ste 220
Wilton, CT 06897
Phone (203) 762-2800
2001 Butterfield Rd
Ste 300
Downers Grove, IL 60515
Phone (630) 725-2730
Interoperability endpoints
- cbulger10676@direct.med.uchc.edu
- christopher.bulger.p5@direct.cvr.nextgenshare.com
- christopher.bulgermd.p3@direct.cvr.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 043351 | CT | |
| Vascular Surgery Physician | 2086S0129X | 043351 | CT | Yes |
Addresses
Primary practice location
479 Buckland Rd FL 2
South Windsor, CT 06074-3739
Mailing address
479 Buckland Rd FL 2
South Windsor, CT 06074-3739
Phone (860) 288-7244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700922218 | Medicaid | CT |
Other providers in South Windsor, CT
- Jessica M Bridge
- Janis Inesis Briga
- Molly Brown
- Lori Ann Bryon
- Carolyn Buckley
- Olga Andreyevna Bulygina
- Colin James Burgess
- Whitney Ann Burns
- Kathleen M Burr
- Robert Neil Burstein
All providers in South Windsor, CT · Vascular Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.