Individual provider Active NPI

Ersan Yalcin, M.D.

  • Internal Medicine Physician
  • South Easton, MA
National Provider Identifier
1023065281
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
159926 Issued in MA
Practice address
21 Bristol Dr Ste 101
South Easton, MA 02375-1199
Phone
(508) 565-7300
Fax
(505) 565-7335
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 159926 MA Primary

Addresses

Primary practice location

21 Bristol Dr Ste 101
South Easton, MA 02375-1199

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 350-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000446 MA Practitioner - Internal Medicine 7517971948 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
159926MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients

Locations

673 Bedford St
Abington, MA 02351
Phone (781) 878-0001

10 Forbes Rd
Ste 190
Braintree, MA 02184
Phone (781) 300-7503

500 Belmont St
Ste 150
Brockton, MA 02301
Phone (508) 583-1195

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

21 Bristol Dr
Ste 101
South Easton, MA 02375
Phone (508) 565-7300

21 Bristol Dr
Ste 200
South Easton, MA 02375
Phone (508) 565-7300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1023065281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "508-350-2350",
            "fax_number": "508-350-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRISTOL DR STE 101",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751199",
            "telephone_number": "508-565-7300",
            "fax_number": "505-565-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALCIN",
        "first_name": "ERSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "159926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, MA

Sources for this page

Verify at the official NPI Registry.