Bay Colony Neurosurgery

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BAY COLONY NEUROSURGERY

Practice address

2100 Dorchester Ave
Dorchester, MA 02124

Phone

(617) 288-0234

Fax

(617) 298-2851

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradford A Selland, M.D.

Title

President

Phone

(617) 288-0234

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164649158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02124",
            "telephone_number": "617-288-0234",
            "fax_number": "617-298-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02124",
            "telephone_number": "617-288-0234",
            "fax_number": "617-298-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY COLONY NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELLAND",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-288-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9730711",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J. Barza, M.D.
• Aisling Bastible, MD
• Daphne Bastien, M.A.
• Kerline Bastien, MSW
• Anne Batcheller
• Bay Cove Human Resources
• Bay Cove Human Services, Inc
• Bay Cove Humman Services
• Bay Home Health Services LLC
• Regine Bazile-Julien, BA

• Specialist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.