Active NPI
Appledore Medical Group, Inc
- Internal Medicine Physician
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- APPLEDORE MEDICAL GROUP, INC
- Practice address
- 100 Eileen Dondero Foley Ave Ste 300
Portsmouth, NH 03801-4597 - Phone
- (603) 436-6115
- NPI assigned
- Oct 18, 2005
- Last updated
- Nov 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Bergamo
- Title
- Vice President
- Phone
- (804) 267-5950
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NH | ||
| Interventional Cardiology Physician | 207RI0011X | NU | ||
| Infectious Disease Physician | 207RI0200X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU | ||
| Neurological Surgery Physician | 207T00000X | NU |
Addresses
Primary practice location
100 Eileen Dondero Foley Ave Ste 300
Portsmouth, NH 03801-4597
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142350004 | Medicaid | ME | |
| 142350008 | Medicaid | ME | |
| 30217420 | Medicaid | NH | |
| 142350011 | Medicaid | ME | |
| 30213400 | Medicaid | NH | |
| 30214303 | Medicaid | NH | |
| 142350003 | Medicaid | ME | |
| 142350012 | Medicaid | ME | |
| 30217899 | Medicaid | NH | |
| 30220959 | Medicaid | NH | |
| 142350002 | Medicaid | ME | |
| 30213396 | Medicaid | NH | |
| 142350000 | Medicaid | ME | |
| 142350007 | Medicaid | ME | |
| 142350005 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, ME
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040601000165 | NH | Part B Supplier - Clinic/Group Practice | 5698666154 |
Receives reassigned benefits from 238 practitioners 3 other NPIs on this enrollment |
| O20110803000061 | ME | Part B Supplier - Clinic/Group Practice | 5698666154 |
Receives reassigned benefits from 3 practitioners Practice locations: Sanford, ME; York, ME |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Woodbury Family Practice
- Family Medicine Physician
- Newington, NH
- NPI 1225232184
O20040601000165
-
dba dba North Hampton Family Practice
- Family Medicine Physician
- North Hampton, NH
- NPI 1174512693
O20040601000165
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1619918265
O20040601000165
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D0997262 | Appledore Medical Group | Provider-performed microscopy | Jan 13, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Parkland Medical Center
- Cardiovascular Disease Physician
- Derry, NH
- NPI 1538516851
Member Of
Locations (25 of 31)
112A Parker St
Newburyport, MA 01950
Phone (978) 462-1110
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
15 Durham Rd
Ste LL001
Dover, NH 03820
Phone (603) 841-2546
795 Central Ave
Dover, NH 03820
Phone (603) 742-7402
7 Mill Road Plz
Durham, NH 03824
Phone (603) 430-0060
14 Maple St
Ste 100B
Gilford, NH 03249
Phone (603) 832-7190
41 Buttrick Rd
Ste 4200
Londonderry, NH 03053
Phone (603) 434-9666
88 McGregor St
Ste 105
Manchester, NH 03102
Phone (603) 663-6200
88 McGregor St
Ste 201
Manchester, NH 03102
Phone (603) 314-7595
88 McGregor St
Ste 204
Manchester, NH 03102
Phone (603) 663-6661
88 McGregor St
Ste 301
Manchester, NH 03102
Phone (603) 314-7246
2064 Woodbury Ave
Ste 102
Newington, NH 03801
Phone (603) 766-8130
155 Borthwick Ave
#301
Portsmouth, NH 03801
Phone (603) 433-8434
155 Borthwick Ave
Ste 101E
Portsmouth, NH 03801
155 Borthwick Ave
Ste 101W
Portsmouth, NH 03801
Phone (603) 433-4969
155 Borthwick Ave
Ste 303E
Portsmouth, NH 03801
Phone (603) 433-5226
26 Manchester Sq
#1
Portsmouth, NH 03801
Phone (603) 431-2516
330 Borthwick Ave
Ste 205
Portsmouth, NH 03801
Phone (603) 426-6115
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
333 Borthwick Ave
Ste 205
Portsmouth, NH 03801
Phone (603) 433-4941
333 Borthwick Ave
Ste 305
Portsmouth, NH 03801
Phone (603) 433-5226
936 South St
Portsmouth, NH 03801
Phone (603) 431-5327
21 Whitehall Rd
Ste 201
Rochester, NH 03867
Phone (603) 335-8830
245 Rochester Hill Rd
Ste 1B
Rochester, NH 03867
Phone (603) 994-0120
6 Healthcare Dr
#1
Rochester, NH 03867
Phone (603) 332-8981
Practitioners & affiliated clinicians
Practitioners 360
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Bedford, NH
- NPI 1437702123
-
- Obstetrics & Gynecology Nurse Practitioner
- Bedford, NH
- NPI 1851626287
-
- Infectious Disease Physician
- Portsmouth, NH
- NPI 1932192945
-
- Infectious Disease Physician
- Merrimack, NH
- NPI 1154637031
-
- Family Nurse Practitioner
- Raymond, NH
- NPI 1083478051
-
- Nurse Practitioner
- Portsmouth, NH
- NPI 1841808573
-
- Family Nurse Practitioner
- Goffstown, NH
- NPI 1104538040
-
- Physician Assistant
- Manchester, NH
- NPI 1801664081
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1952389108
-
- Family Nurse Practitioner
- Manchester, NH
- NPI 1104303213
-
- Physician Assistant
- Manchester, NH
- NPI 1184048332
-
- Family Nurse Practitioner
- Portsmouth, NH
- NPI 1548505902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1720077167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274692",
"telephone_number": "615-373-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EILEEN DONDERO FOLEY AVE STE 300",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014597",
"telephone_number": "603-436-6115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLEDORE MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-18",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "BERGAMO",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "804-267-5950"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NH",
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350004",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350008",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30217420",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350011",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30213400",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30214303",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350003",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350012",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30217899",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30220959",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350002",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30213396",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350007",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142350005",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
- Appledore Medical Group II Inc (Coastal Cardiothoracic and Vascular Assoc)
- Appledore Medical Group Inc
- Appledore Medical Group Inc (PRH Hospitalists)
- Appledore Medical Group-Diabetes Resource Center
- Appledore Medical Group, Inc
- Appledore Medical Group, Inc.
- Appledore Medical GRP II, Inc. (Coastal Cardiothoracic and Vascular Associates)
- Apria Healthcare LLC
- Arc of New Hampshire, LLC
- Janet Lynn Archambault, MSN, ARNP, BSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.