NPIMap

Organization Active NPI

Bristol Pulmonary and Sleep Medicine P.C.

  • Pulmonary Disease Physician
  • Taunton, MA
National Provider Identifier
1144456468
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
BRISTOL PULMONARY AND SLEEP MEDICINE P.C.
Practice address
72 Washington St Ste 2100
Taunton, MA 02780-2470
Phone
(508) 824-7282
Fax
(508) 824-7285
NPI assigned
Jun 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Imad J Bahhady, MDNPI 1285602052
Title
Owner
Phone
(508) 824-7282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

72 Washington St Ste 2100
Taunton, MA 02780-2470

Mailing address

72 Washington St
Suite 2400
Taunton, MA 02780-2491
Phone (508) 824-7282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000593 MA Part B Supplier - Clinic/Group Practice 0446303739 Receives reassigned benefits from 4 practitioners
Practice locations: Taunton, MA

National Provider Directory

National Provider Directory

Locations

8 Commerce Blvd
#301
Middleboro, MA 02346
Phone (774) 213-0380

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1144456468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 2400",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-824-7282",
            "fax_number": "508-824-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST STE 2100",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802470",
            "telephone_number": "508-824-7282",
            "fax_number": "508-824-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PULMONARY AND SLEEP MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "BAHHADY",
        "authorized_official_first_name": "IMAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-824-7282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.