David Bradshaw Pearlstone, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

44328 Issued in CT

Practice address

166 Sport Hill Rd
Easton, CT 06612-2203

Phone

(203) 913-0969

NPI assigned

Oct 14, 2005

Last updated

Feb 3, 2014By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1962491878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SPORT HILL RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122203",
            "telephone_number": "203-913-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SPORT HILL RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122203",
            "telephone_number": "203-913-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLSTONE",
        "first_name": "DAVID",
        "middle_name": "BRADSHAW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "44328",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CT",
            "license": "44328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "44328",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• National Athletic Health Care Alliance, P.C.
• Jacqueline Ofria, LCSW
• Gayle Paquin, LCSW
• Liane Marie Pioli, PHD
• Marina Vasilievna Polskaya, M.D.
• Kristy Rancourt, LCSW
• Mary Kate Robb, LCSW
• Ilene Ann Robbins

• Surgical Oncology Physician in Easton, CT
• Providers in Easton, CT by specialty
• Surgical Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.