Individual provider Active NPI

Bushra Awidi, M.D

  • Psychiatry Physician
  • Fredericksburg, VA
National Provider Identifier
1265848907
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101286522 Issued in VA
Practice address
1200 Sam Perry Blvd
Fredericksburg, VA 22401-4456
Phone
(540) 741-3900
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 273522 MA
Psychiatry Physician 2084P0800X 0101286522 VA Primary

Addresses

Primary practice location

1200 Sam Perry Blvd
Fredericksburg, VA 22401-4456

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940

Other practice location 1

830 County Rd
Pocasset, MA 02559-2110
Phone (508) 564-9600

Other practice location 2

55 Fruit St
Boston, MA 02114-2621
Phone (617) 724-5600

Other practice location 3

27 Park St
Hyannis, MA 02601-5203
Phone (508) 862-5566

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180622000941 MA Practitioner - Psychiatry 2567717143 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273522MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts CurrentSince May 12, 2018 Accepting new patients
The General Hospital Corporation CurrentSince Dec 13, 2022 Accepting new patients
The McLean Hospital Corporation Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Nov 26, 2020 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Psychiatry CurrentSince Dec 13, 2022 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Sep 2, 2024 Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

940 Belmont St
Brockton, MA 02301
Phone (774) 826-1106

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134

Interoperability endpoints

  • Direct secure messaging: bawidi81109@direct.southcoast.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1265848907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014456",
            "telephone_number": "540-741-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 County Rd",
            "address_purpose": "LOCATION",
            "city": "Pocasset",
            "state": "MA",
            "postal_code": "025592110",
            "country_code": "US",
            "telephone_number": "508-564-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-724-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Park St",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026015203",
            "country_code": "US",
            "telephone_number": "508-862-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWIDI",
        "first_name": "BUSHRA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "273522",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101286522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.