MEDICARE: BRUCE ALAN LANGEVIN

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	2251X0800X	Orthopedic Physical Therapist	005532	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080005532CT08	OTHER	CT	BCBS
2	44901	OTHER	CT	ORTHONET

General Provider Information

NPI Number	:	1992888531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE ALAN LANGEVIN

Provider Business Mailing Address
First Line	:	PO BOX 9518
Second Line	:
City	:	BOLTON
State	:	CT
Zip	:	06043-9518
Country	:	US
Telephone Number	:	860-646-8758
Fax Number	:	860-646-0256

Provider Business Practice Location Address
First Line	:	921 BOSTON TURNPIKE
Second Line	:
City	:	BOLTON
State	:	CT
Zip	:	06043
Country	:	US
Telephone Number	:	860-646-8758
Fax Number	:	860-646-0256

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1871561092 — DR. RONALD L BUCKMAN M.D.
Practice Location Address:

921 BOSTON TPKE
BOLTON, CT
06043-7403

Practice Phone: 860-646-0649
Practice Fax: 860-649-9195

1104920065 — PIPER P LILLARD D.O.
Practice Location Address:

921 BOSTON TPKE , SUITE 2
BOLTON, CT
06043-7403

Practice Phone: 860-646-0649
Practice Fax: 860-649-9195

1780781070 — BOLTON PHARMACY INC
Practice Location Address:

667 BOSTON TPKE
BOLTON, CT
06043-7401

Practice Phone: 860-643-0165
Practice Fax: 860-649-3783

1306995725 — FAMILY MEDICINE PARTNERSHIP, PC
Practice Location Address:

921 BOSTON TURNPIKE
BOLTON, CT
06043

Practice Phone: 860-646-0649
Practice Fax: 860-649-9195

1881748739 — GINGER M POLLACK DMD PC
Practice Location Address:

665 BOSTON TURNPIKE
BOLTON, CT
06043

Practice Phone: 860-646-0773
Practice Fax: 860-647-6915

1427194539 — BOLTON BOARD OF EDUCATION
Practice Location Address:

108 NOTCH RD
BOLTON, CT
06043-7431

Practice Phone: 860-643-1569
Practice Fax: 860-647-8452

Directions to “ BRUCE ALAN LANGEVIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.