Lawrence H Bernstein, MD

Individual provider Active NPI Adult Medicine Physician · Chicopee, MA

NPI 1093715906 · NPPES record last updated Jan 18, 2008

Key facts

NPI
1093715906
Entity type
Individual (NPI type 1)
Primary specialty
Adult Medicine Physician 207QA0505X
License
155817 (MA)
Practice address
262 New Ludlow Rd
Chicopee, MA 01020-4324
Phone
(413) 552-3250
Fax
(413) 552-3255
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Inpatient Medical Associates Inc. Past
since Aug 17, 2020
Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients
Western Mass Physician Associates Inc Past Accepting new patients
Western Mass Physician Associates Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 155817 MA Yes

Addresses

Primary practice location

262 New Ludlow Rd
Chicopee, MA 01020-4324

Mailing address

260 New Ludlow Rd
Chicopee, MA 01020-4324
Phone (413) 533-3470

Other identifiers

IdentifierTypeStateIssuer
710779OtherHARVARD PILGRIM
J18507OtherBCBS OF MA
6188354MedicaidMA
017816OtherCONNECTICARE OF MA
974611OtherNETWORK HEALTH
000000001890OtherBOSTON MEDICAL CENTER HNP
J18507OtherHMO BLUE
043202198007OtherTRICARE
5311957012OtherCIGNA
24948OtherHEALTH NEW ENGLAND

Other providers in Chicopee, MA

All providers in Chicopee, MA · Adult Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.