Individual provider Active NPI

Erwin Joseph Bulan, M.D.

  • Plastic Surgery Physician
  • Woburn, MA
National Provider Identifier
1114953403
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
1023169 Issued in MA
Practice address
300 Tradecenter Ste 4500
Woburn, MA 01801-7425
Phone
(617) 758-8002
Fax
(781) 932-9200
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 1023169 MA Primary

Addresses

Primary practice location

300 Tradecenter Ste 4500
Woburn, MA 01801-7425

Mailing address

300 Tradecenter Ste 4500
Woburn, MA 01801-7425
Phone (617) 758-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20051020000072 NJ Practitioner - Plastic and Reconstructive Surgery 1153347026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 Main St
Suite 105
Millburn, NJ 07041-1322
Phone (973) 467-9744

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07379300NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Leone MD LLC Plastic Surgery PastSince Jul 1, 2002 Accepting new patients

Organizations & group practices 2

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1114953403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TRADECENTER STE 4500",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017425",
            "telephone_number": "617-758-8002",
            "fax_number": "781-932-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TRADECENTER STE 4500",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017425",
            "telephone_number": "617-758-8002",
            "fax_number": "781-932-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULAN",
        "first_name": "ERWIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "1023169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.