NPIMap

Organization Active NPI

Greater Boston Urology

  • Urology Physician
  • Falmouth, MA
National Provider Identifier
1184038481
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
216261 Issued in MA
Legal business name
GREATER BOSTON UROLOGY
Practice address
19 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone
(508) 540-7555
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
James Bleiler
Title
M.D.
Phone
(508) 540-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 216261 MA Primary

Addresses

Primary practice location

19 Bramble Bush Dr
Falmouth, MA 02540-2325

Mailing address

19 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone (508) 540-7555

Other identifiers 1

IdentifierTypeStateIssuer
110087728HMedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1184038481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRAMBLE BUSH DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-540-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRAMBLE BUSH DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-540-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "BLEILER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "508-540-7555"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MA",
            "license": "216261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087728H",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.