Organization Active NPI

Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
National Provider Identifier
1720077167
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
142350004MedicaidME
142350008MedicaidME
30217420MedicaidNH
142350011MedicaidME
30213400MedicaidNH
30214303MedicaidNH
142350003MedicaidME
142350012MedicaidME
30217899MedicaidNH
30220959MedicaidNH
142350002MedicaidME
30213396MedicaidNH
142350000MedicaidME
142350007MedicaidME
142350005MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0997262Appledore Medical Group100 Eileen Dondero Foley Ave, Ste 300, Portsmouth, NH 03801Provider-performed microscopyJan 13, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

View all 360

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

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.

Verify at the official NPI Registry.