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

Sondra Iacullo Bogursky, MD

Individual provider Pediatrics Physician · NPI 1790711059

Sondra Iacullo Bogursky, MD is a Pediatric Medicine in Waterbury, Connecticut. Graduated from Temple University School of Medicine in 2000, 26 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
26
Trained at
Temple University School of Medicine
Licensed in
CT
In the registry since
2006
Specialties on file
2
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

95 Scovill St 3rd Fl
Waterbury, CT 06706-1113
Phone: (203) 709-3800
Fax: (203) 709-3869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 042480 (CT)
Pediatrics Physician Taxonomy 208000000X · Licence 042480 (CT)

Record details

NPI number1790711059
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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