Organization Active NPI

Greater Boston Gastroenterology

  • Gastroenterology Physician
  • Framingham, MA
National Provider Identifier
1164498796
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GREATER BOSTON GASTROENTEROLOGY
Practice address
475 Franklin St
Suite 110
Framingham, MA 01702-6264
Phone
(508) 620-9200
Fax
(508) 620-6483
NPI assigned
Feb 24, 2006
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Alan Oliver, CEO
Title
Ceo
Phone
(786) 530-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

475 Franklin St
Suite 110
Framingham, MA 01702-6264

Mailing address

475 Franklin St
Suite 110
Framingham, MA 01702-6264
Phone (508) 620-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617000608 MA Part B Supplier - Clinic/Group Practice 5991789802 Receives reassigned benefits from 37 practitioners
Practice locations: Framingham, MA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

330 Brookline Ave
#101
Boston, MA 02215
Phone (617) 754-8888

297 Union Ave
Ste 2
Framingham, MA 01702
Phone (508) 665-4390

475 Franklin St
Ste 202
Framingham, MA 01702
Phone (508) 875-7205

74 Main St
Unit 1
Medway, MA 02053

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1164498796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST",
            "address_2": "SUITE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026264",
            "telephone_number": "508-620-9200",
            "fax_number": "508-620-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST",
            "address_2": "SUITE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026264",
            "telephone_number": "508-620-9200",
            "fax_number": "508-620-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.