| Dr Kevin J Sprague Ii, MD | |
|
2800 Main St, Emergency Department, Bridgeport, CT 06606-4201 | |
| (203) 576-5604 | |
| Not Available |
| Full Name | Dr Kevin J Sprague Ii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2800 Main St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063728418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 051906 (Connecticut) | Primary |
| Entity Name | Bridgeport Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649260845 PECOS PAC ID: 2062312598 Enrollment ID: O20040120000425 |
| Entity Name | Northeast Emergency Medicine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982889598 PECOS PAC ID: 8729157797 Enrollment ID: O20080516000028 |
| Entity Name | St. Vincent's Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin J Sprague Ii, MD 2800 Main St, Emergency Dept, Bridgeport, CT 06606-4201 Ph: (203) 576-5604 | Dr Kevin J Sprague Ii, MD 2800 Main St, Emergency Department, Bridgeport, CT 06606-4201 Ph: (203) 576-5604 |
Austin Buchla, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Dr. Tanya Dhiren Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Alexander Fleming-nouri, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Sally Syaunan Chao, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Main St, St. Vincent Medical Center, Bridgeport, CT 06606 Phone: 203-576-5177 | |
Kimberly Anne Reade, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606 Phone: 203-576-5604 | |
Dr. Jonathan Maisel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490 |