Individual provider Active NPI

Stephen I Bogursky, MD

  • Anesthesiology Physician
  • Manchester, NH
National Provider Identifier
1851397442
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
8704 Issued in NH
Practice address
87 McGregor St
Ste. 1400
Manchester, NH 03102-3731
Phone
(603) 647-9325
Fax
(603) 647-2453
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 8704 NH Primary

Addresses

Primary practice location

87 McGregor St
Ste. 1400
Manchester, NH 03102-3731

Mailing address

88 McGregor St
Ste 303
Manchester, NH 03102-3750
Phone (603) 647-9325

Other identifiers 1

IdentifierTypeStateIssuer
80002244MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000509 NH Practitioner - Anesthesiology 8729989520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite State Anesthesia Partners, LLCGroup PAC ID 6709315708, 41 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8704NHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
Granite State Anesthesia Partners, LLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Catholic Medical Center Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Anesthesia Care Group PC Anesthesiology CurrentSince Jun 1, 1992 Accepting new patients
Concord Hospital-Franklin CurrentSince Jan 1, 2020 Accepting new patients
Lrghealthcare CurrentSince Jan 1, 2020 Accepting new patients

Locations

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

88 McGregor St
Manchester, NH 03102
Phone (603) 314-7246

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

87 McGregor St
Ste 1400
Manchester, NH 03102
Phone (603) 647-9325

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1851397442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST",
            "address_2": "STE 303",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023750",
            "telephone_number": "603-647-9325",
            "fax_number": "603-647-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST",
            "address_2": "STE. 1400",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023731",
            "telephone_number": "603-647-9325",
            "fax_number": "603-647-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGURSKY",
        "first_name": "STEPHEN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "8704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002244",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.