MEDICARE: DR. DOUGLAS MICHAEL HOUSMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	050135	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760640643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS MICHAEL HOUSMAN M.D.

Provider Business Mailing Address
First Line	:	25 NEWELL RD STE C11
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-5140
Country	:	US
Telephone Number	:	860-582-9800
Fax Number	:	860-585-0059

Provider Business Practice Location Address
First Line	:	25 NEWELL RD STE C11
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-5140
Country	:	US
Telephone Number	:	860-582-9800
Fax Number	:	860-585-0059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	04/16/2026

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