Organization Active NPI

Rebuild Healthcare LLC

  • Health Service Clinic/Center
  • Boston, MA
National Provider Identifier
1063358398
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
REBUILD HEALTHCARE LLC
Practice address
7 Whittier PL Ste 108
Boston, MA 02114-1408
Phone
(617) 333-8428
Fax
(877) 497-2553
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Dr. Ezioma Gbujie, MDNPI 1770005571
Title
Provider
Phone
(617) 333-8428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

7 Whittier PL Ste 108
Boston, MA 02114-1408

Mailing address

1151 Walker Rd Ste 100
Dover, DE 19904-6600
Phone (617) 333-8428

National Provider Directory

National Provider Directory

Locations

1151 Walker Rd
Ste 100
Dover, DE 19904
Phone (302) 450-3447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1063358398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 WALKER RD STE 100",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046600",
            "telephone_number": "617-333-8428",
            "fax_number": "877-497-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WHITTIER PL STE 108",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141408",
            "telephone_number": "617-333-8428",
            "fax_number": "877-497-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "GBUJIE",
        "authorized_official_first_name": "EZIOMA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "617-333-8428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.