Garry M Bombardier, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

43637 Issued in MA

Practice address

Holyoke Hospital
575 Beech Street
Holyoke, MA 01040

Phone

(413) 534-2500

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: garry.bombardier@direct.hmcs.masshiway.net

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.

• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154471191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PHEASANT RUN",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751785",
            "telephone_number": "413-534-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLYOKE HOSPITAL",
            "address_2": "575 BEECH STREET",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "01040",
            "telephone_number": "413-534-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBARDIER",
        "first_name": "GARRY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "43637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selenia Indhira Bobadilla
• David L Bogan, M.D.
• Carlos A Bolano, DDS
• Felicia Bolaske-Sawabi
• Evona Marie Bolaske, PHARMD
• Glen P Bombardier, MD
• Wendy Marie Bonaccolto
• Luis Joel Bonilla
• Nancy Bonilla, MDIV
• Martin Bono

• All providers in Holyoke, MA
• Internal Medicine Physician in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.