NPIMap

Organization Active NPI

Bernard J Durante MD PC

Doing business as Plymouth Ears Nose and Throat

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Plymouth, MA
National Provider Identifier
1114024312
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
58069 Issued in MA
Legal business name
BERNARD J DURANTE MD PC
Doing business as
Plymouth Ears Nose and Throat
Practice address
30 Aldrin Rd
Plymouth, MA 02360-4804
Phone
(508) 746-8977
Fax
(508) 746-3364
NPI assigned
Sep 20, 2006
Last updated
Feb 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Dr. Beranrd Joseph Durante, MD
Title
President
Phone
(508) 746-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 58069 MA Primary

Addresses

Primary practice location

30 Aldrin Rd
Plymouth, MA 02360-4804

Mailing address

30 Aldrin Rd
Plymouth, MA 02360-4804
Phone (508) 746-8977

Other practice location 1

544 Main St
Weymouth, MA 02190-1818
Phone (508) 746-9680

Other practice location 2

104 Park St
Hyannis, MA 02601-5206
Phone (508) 746-8977

Other identifiers 6

IdentifierTypeStateIssuer
1000029OtherMAUNITED HEALTH CARE
9771091MedicaidMA
M17916OtherMABLUECROSS BLUESHIELD
19073OtherMAHARVARD PILGRIM HEALTH
2652138OtherMAAETNA
711390OtherMATUFTS HEALTH PLAN

Other names 1

  • Plymouth Ears Nose and Throat Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000665 MA Part B Supplier - Clinic/Group Practice 3577539410 Receives reassigned benefits from 21 practitioners
4 other NPIs on this enrollment
Practice locations: Plymouth, MA; Weymouth, MA; Hyannis, MA; Bourne, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1 County Rd
Bourne, MA 02532
Phone (508) 743-9543

104 Park St
#A
Hyannis, MA 02601

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1114024312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ALDRIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604804",
            "telephone_number": "508-746-8977",
            "fax_number": "508-746-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ALDRIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604804",
            "telephone_number": "508-746-8977",
            "fax_number": "508-746-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 Main St",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021901818",
            "country_code": "US",
            "telephone_number": "508-746-9680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Park St",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026015206",
            "country_code": "US",
            "telephone_number": "508-746-8977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERNARD J DURANTE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "DURANTE",
        "authorized_official_first_name": "BERANRD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-746-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MA",
            "license": "58069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1000029",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9771091",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "M17916",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "19073",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2652138",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "711390",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Ears Nose and Throat",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plymouth Ears Nose and Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.