Bruce A. Berlow, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036951 Issued in CT

Practice address

23 Clara Dr
Suite 204
Mystic, CT 06355-1959

Phone

(860) 536-2995

Fax

(860) 572-0265

NPI assigned

Dec 28, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71115

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1164441101
  NPD (past)
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  • NPI 1881757243
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720065154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CLARA DR",
            "address_2": "SUITE 204",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551959",
            "telephone_number": "860-536-2995",
            "fax_number": "860-572-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CLARA DR",
            "address_2": "SUITE 204",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551959",
            "telephone_number": "860-536-2995",
            "fax_number": "860-572-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLOW",
        "first_name": "BRUCE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "036951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Elizabeth Avery, MSOT, OTR/L
• Chelsea Andrea Barabtarlo, LMFT-A
• Christine M Bauch, PT
• Benchmark Assisted Living LLC
• Victoria A Bergeson, APRN
• Emily Beyene, DPT
• Big Y Foods, Inc (Big Y Pharmacy #5)
• Valerie Bilheimer, PTA
• Natalie B. Billing, APRN
• Margot Bishop

• Specialist in Mystic, CT
• Providers in Mystic, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.