NPIMap

Individual provider Active NPI

Bryce A Basques, M.D., M.H.S.

  • Orthopaedic Surgery of the Spine Physician
  • Raynham, MA
National Provider Identifier
1124409032
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
T287904 Issued in MA
Practice address
675 Paramount Dr Ste 301
Raynham, MA 02767-5416
Phone
(508) 828-5848
NPI assigned
Jun 16, 2015
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 125-066853 IL
Orthopaedic Surgery of the Spine Physician 207XS0117X MD17601 RI
Orthopaedic Surgery of the Spine Physician 207XS0117X MD469688 PA
Orthopaedic Surgery of the Spine Physician 207XS0117X 25MA10793800 NJ
Orthopaedic Surgery of the Spine Physician 207XS0117X T287904 MA Primary

Addresses

Primary practice location

675 Paramount Dr Ste 301
Raynham, MA 02767-5416

Mailing address

PO Box 1119
Providence, RI 02901-1119

Other practice location 1

1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 457-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210915000951 RI Practitioner - Orthopedic Surgery 2961792023 Reassigns benefits to 1 organization
I20210922000218 MA Practitioner - Orthopedic Surgery 2961792023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Yale University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
Orthopedic Care Physician Network, LLCGroup PAC ID 7214185511, 36 clinicians

Practice addresses (Care Compare)

2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500

37 S Broad St
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

675 Paramount Dr
Raynham, MA 02767-5416
Phone (508) 828-5848

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.76
Promoting interoperability
96
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion230
Laminectomy or laminotomy (partial removal of spine bones)95
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-066853ILMDOrthopaedic Surgery Physician
MD469688PAMDOrthopaedic Surgery of the Spine Physician
MD17601RIMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Orthopedic Care Physician Network LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Orthopedic Care Physician Network, LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients

Locations

10 Reservoir St
Ste 101
Mansfield, MA 02048
Phone (508) 618-7111

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

675 Paramount Dr
Raynham, MA 02767
Phone (508) 828-5848

675 Paramount Dr
Ste 301
Raynham, MA 02767
Phone (508) 821-5671

1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

Interoperability endpoints

  • Direct secure messaging: bryce.basques.1@13709.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1124409032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029011119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR STE 301",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675416",
            "telephone_number": "508-828-5848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kettle Point Ave",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145375",
            "country_code": "US",
            "telephone_number": "401-457-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASQUES",
        "first_name": "BRYCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., M.H.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125-066853",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "RI",
            "license": "MD17601",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "MD469688",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA10793800",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "T287904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

Verify at the official NPI Registry.