Ingrid Anita Balcomb, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

78814 Issued in MA

Practice address

131 Old Road to 9 Acre Cor
Suite 830
Concord, MA 01742-4181

Phone

(978) 371-1396

Fax

(978) 371-8277

NPI assigned

Dec 20, 2005

Last updated

Jan 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Bridge Imaging Group, LLC

  dba North Bridge Vein Care

  • Vascular & Interventional Radiology Physician
  • Arlington, MA
  • NPI 1396055356
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1275519340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 830",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-371-1396",
            "fax_number": "978-371-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 830",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-371-1396",
            "fax_number": "978-371-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCOMB",
        "first_name": "INGRID",
        "middle_name": "ANITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "78814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121925",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Perry Bailey, ED.D.
• Karen H Bailey, RN
• Christopher Wesley Baker, M.D.
• Eshita Minesh Bakshi, D.O.
• Barbara Balboni Daly
• Benjamin Banister, PSY.D.
• David M Barash, M.D.
• Caitlin Barba, LCSW
• Peter M Barkin, MD
• Ayla Mariel Barmmer, MS, RD, LDN

• Obstetrics & Gynecology Physician in Concord, MA
• Providers in Concord, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.