Healthcare Provider Details

I. General information

NPI: 1881715761
Provider Name (Legal Business Name): JAMIE D PAPPAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 ATKINS AVE
BRISTOL CT
06010-6436
US

IV. Provider business mailing address

68 ATKINS AVE
BRISTOL CT
06010-6436
US

V. Phone/Fax

Practice location:
  • Phone: 860-212-7285
  • Fax:
Mailing address:
  • Phone: 860-212-7285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number027886
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: