NPIMap

Individual provider Active NPI

Mitchell H Bamberger, MD

  • Urology Physician
  • Leominster, MA
National Provider Identifier
1235108374
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
71104 Issued in MA
Practice address
50 Memorial Dr Ste 108
Leominster, MA 01453-2238
Phone
(978) 466-2280
Fax
(978) 466-2282
NPI assigned
Mar 14, 2006
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 71104 MA Primary

Addresses

Primary practice location

50 Memorial Dr Ste 108
Leominster, MA 01453-2238

Mailing address

33 Carriage Hill Cir
Southborough, MA 01772-1341
Phone (508) 954-9988

Other practice location 1

33 Kendall St
Worcester, MA 01605-2726
Phone (508) 856-5821

Other identifiers 1

IdentifierTypeStateIssuer
110061342AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060808000007 MA Practitioner - UrologyPractitioner - Otolaryngology 9830192103 Reassigns benefits to 6 organizations
I20260623002240 NH Practitioner - Urology 9830192103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Otolaryngology
Education
Albany Medical College of Union University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Boston Urology LLCGroup PAC ID 1153516513, 44 clinicians
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

161 Worcester Rd
Framingham, MA 01701-5315

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

31 Roche Brothers Way
Suite 100
North Easton, MA 02356-1032
Phone (508) 238-0800

50 Memorial Dr
Suite 108
Leominster, MA 01453-2238
Phone (781) 762-0471

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 664-5411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71104MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Boston Urology, LLC Urology CurrentSince Jan 1, 2025 Accepting new patients
Brockton Urology Clinic Inc Urology Current Accepting new patients
Boston Urology Institute LLC CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 2021 Accepting new patients
Bamberger Consulting Group PC Urology CurrentSince Dec 9, 2020 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jan 31, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 2021 Accepting new patients
Fairview Hospital CurrentSince Jan 31, 2025 Accepting new patients
Gbu Bidco LLC Urology Current Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients
Milford Regional Physician Group, Inc. Past Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
Seacoast Affiliated Group Practice, Inc. Past Accepting new patients
Milford Regional Physician Group, Inc. Past Accepting new patients

Locations

190 Groton Rd
Ste 250
Ayer, MA 01432
Phone (978) 784-9325

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

161 Worcester Rd
Ste 602
Framingham, MA 01701
Phone (603) 479-4082

780 S Main St
Gt Barrington, MA 01230
Phone (413) 528-1470

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

50 Memorial Dr
Ste 108
Leominster, MA 01453
Phone (978) 466-2280

145 Rosemary St
Ste B
Needham Heights, MA 02494
Phone (781) 433-2110

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35349_bostonurologyinstitute
  • Direct secure messaging: mbamberger562218@direct.bilh.masshiway.net
  • Direct secure messaging: mitchellbamberger@gbu.medalliesdirect.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1235108374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CARRIAGE HILL CIR",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721341",
            "telephone_number": "508-954-9988",
            "fax_number": "508-393-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DR STE 108",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-466-2280",
            "fax_number": "978-466-2282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Kendall St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052726",
            "country_code": "US",
            "telephone_number": "508-856-5821",
            "fax_number": "508-856-3137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAMBERGER",
        "first_name": "MITCHELL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "71104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110061342A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.