Active NPI
Gregory Robert Bacos
- Counselor
- Wilmington, MA
National Provider Identifier
1285078956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 260 Fordham Rd
Wilmington, MA 01887-2170 - Phone
- (978) 315-1011
- NPI assigned
- Apr 24, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
260 Fordham Rd
Wilmington, MA 01887-2170
Mailing address
260 Fordham Rd
Wilmington, MA 01887-2170
Phone (978) 315-1011
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1285078956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 FORDHAM RD",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018872170",
"telephone_number": "978-315-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 FORDHAM RD",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018872170",
"telephone_number": "978-315-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACOS",
"first_name": "GREGORY",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.