Active NPI
Byron Earle Brumbaugh, M.D.
- Emergency Medicine Physician
- Haverhill, MA
National Provider Identifier
1124067657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 81313
- Practice address
- 140 Lincoln Ave
Haverhill, MA 01830-6700 - Phone
- (978) 374-2000
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 81313 | MA | Primary |
Addresses
Primary practice location
140 Lincoln Ave
Haverhill, MA 01830-6700
Mailing address
1 Edward St
Canton, MA 02021-2303
Phone (781) 828-3533
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3155005 | Medicaid | MA | |
| 763958 | Other | MA | TUFTS HEALTH PLANS |
| A21464 | Other | MA | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81313 | MA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124067657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EDWARD ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020212303",
"telephone_number": "781-828-3533",
"fax_number": "781-828-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 LINCOLN AVE",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306700",
"telephone_number": "978-374-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMBAUGH",
"first_name": "BYRON",
"middle_name": "EARLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "81313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3155005",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "763958",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "A21464",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.