Bear Mt Reading LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEAR MT READING LLC

Practice address

1364 Main St
Reading, MA 01867-1137

Phone

(781) 942-1210

NPI assigned

Mar 21, 2019

Last updated

Mar 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John B Wynne Jr.

Title

Member/Cfo

Phone

(860) 880-8202

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Barrasso, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Medford, MA
  • NPI 1467433748
  NPD (past)
• Faisal Malik, MD

  • Internal Medicine Physician
  • Wilmington, MA
  • NPI 1912106691
  NPD (past)
• Ilia Manevich, M.D.

  • Internal Medicine Physician
  • Chelmsford, MA
  • NPI 1144551102
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1053871541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST STE 203",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "860-880-8202",
            "fax_number": "860-880-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 MAIN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018671137",
            "telephone_number": "781-942-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR MT READING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER/CFO",
        "authorized_official_telephone_number": "860-880-8202",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Barnes, MS CCC SLP
• Kalah Barrett
• Brooke Elizabeth Barriss
• Emily Barry, PHD
• Lynne Batty, RPT
• Emmanuel Begon, DPT
• Amber Belanger
• Margaret Belezos, COTA/L
• Lauren Holloway Bennett, LMHE
• Renee Bernazzani Burke, M.S. CCC-SLP

• Skilled Nursing Facility in Reading, MA
• Providers in Reading, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.