Active NPI
Alma Gregory Sorensen, MD
- Neuroradiology Physician
- Boston, MA
National Provider Identifier
1194835264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 77362
- Practice address
- Neuroradiology
55 Fruit Street GRB 2
Boston, MA 02114-2696 - Phone
- (617) 726-3914
- Fax
- (617) 726-7422
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 77362 | MA | Primary |
Addresses
Primary practice location
Neuroradiology
55 Fruit Street GRB 2
Boston, MA 02114-2696
Mailing address
Mass General Physician Organization
PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 724-0287
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 737778 | Other | MA | TUFTS HEALTH PLAN |
| 3126447 | Medicaid | MA | |
| J30634 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194835264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MASS GENERAL PHYSICIAN ORGANIZATION",
"address_2": "PO BOX 9142",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-724-0287",
"fax_number": "617-726-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEURORADIOLOGY",
"address_2": "55 FRUIT STREET GRB 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-3914",
"fax_number": "617-726-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "ALMA",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MA",
"license": "77362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "737778",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3126447",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J30634",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.