Nicole Badie, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

249903 Issued in MA

Practice address

28 State St
Suite 2860
Boston, MA 02109-1775

Phone

(617) 903-5000

Fax

(617) 903-5009

NPI assigned

Oct 9, 2008

Sex

Female

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

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.

• Mass General Brigham Community Physicians Inc.

  • Family Medicine Physician
  • Boston, MA
  • NPI 1265094122
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1215188149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 STATE ST",
            "address_2": "SUITE 2860",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 STATE ST",
            "address_2": "SUITE 2860",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091775",
            "telephone_number": "617-903-5000",
            "fax_number": "617-903-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADIE",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "249903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Bader, M.D.
• Thea T Bader
• Haruka Badger, MD
• James A. Badger, M.ED.
• Jordan Leslie Badger, RD
• Sarah Badin, MD
• Stephanie Badio
• Charlotte Devorah Badler, RN
• Amira Nour Badr, OTR
• Anthony Badra

• Family Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.