Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MONTGOMERY BERNARD DOUGLAS, M.D.
ActiveMONTGOMERY BERNARD DOUGLAS, M.D. is a Family Medicine healthcare provider located in FARMINGTON, Connecticut. NPI 1114120839 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FARMINGTON, CT
Registration Details
- NPI Number
- 1114120839
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2007 (19.139336532726 yrs)
- Last Updated
- Jul 15, 2016
- Licenses
-
171089 (NY)054868 (CT)054868 (CT)
Practice Information
- Address
-
UCONN MEDICAL GROUP263 FARMINGTON AVEFARMINGTON, CT, 060300001Browse CT providers · Browse ZIP 06030
- Phone
- 8606794477
- Fax
- 8606794474
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Geriatric Medicine
Other Family Medicine Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| DR. HYOUNGSUP PARK | M.D., PHD | 1174512735 |
| RYAN A GORMAN | D.O | 1770556367 |
| DR. DEMETRA ELEFTHERIOU | MD | 1104838812 |
| FATEMA T ISLAM | MD | 1265538516 |
| IMRAN A. HAFEEZ | M.D. | 1275747925 |
| DR. TIMOTHY STEPHEN LISHNAK | M.D. | 1174725303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.