Robert Edward Koorse, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032768 Issued in CT

Practice address

100 Wells Street- Suite 1B
Hartford, CT 06103

Phone

(860) 525-2672

Fax

(860) 727-0897

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Neurology Associates of Greater Hartford PC

  dba Robert H Berland

  • Neurology Physician
  • Hartford, CT
  • NPI 1972893113
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1780775080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WEST MAIN STREET",
            "address_2": "HARTFORD ORTHOPEDIC MEDICINE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521315",
            "telephone_number": "860-826-4763",
            "fax_number": "860-826-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELLS STREET- SUITE 1B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06103",
            "telephone_number": "860-525-2672",
            "fax_number": "860-727-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOORSE",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073711651",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Brooks Komar, M.D.
• Babajide Ayodeji Komolafe, MBBS
• Ritika Kompella, MD
• Benjamin Kong, MD
• Klaudia Konopka
• Krystian Kopec, PA-C
• Edward Korobkov, PHARMD
• Theodoros Koromilos, D.C.
• Adam Korus
• Eric Myles Kosofsky, DPM

• Internal Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.