Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Bruce Bouslough, MD

Individual provider Emergency Medicine Physician · NPI 1407870330

David Bruce Bouslough, MD is an Emergency Medicine in New London, Connecticut. Qualified in 2001, 25 years ago. Practices with Mackinac Straits Health System Inc, a 22-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in American Samoa, Connecticut and Rhode Island.

Years since qualifying
25
Licensed in
AS, CT, RI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

365 Montauk Ave
New London, CT 06320
Phone: (860) 442-0711
Fax: (203) 688-9638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 302 Hobart St, Cadillac, MI 49601-2379 — (231) 876-2644
  • 593 Eddy St, Providence, RI 02903-4923 — (401) 519-1604
  • 593 Eddy St, Providence, RI 02903-4923 — (401) 519-1604

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 62616 (CT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A96799 (AS)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD11583 (RI)

Record details

NPI number1407870330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mackinac Straits Health System Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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