Active NPI
Michael Bader MD PC
- Internal Medicine Physician
- Stoneham, MA
National Provider Identifier
1326219882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 52061
- Legal business name
- MICHAEL BADER MD PC
- Practice address
- 92 Montvale Ave
Suite 3700
Stoneham, MA 02180-3647 - Phone
- (781) 438-5543
- Fax
- (781) 756-7274
- NPI assigned
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Bradley Bader, MD
- Title
- Owner
- Phone
- (781) 438-5543
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52061 | MA | Primary |
| Pulmonary Disease Physician | 207RP1001X | 52061 | MA |
Addresses
Primary practice location
92 Montvale Ave
Suite 3700
Stoneham, MA 02180-3647
Mailing address
PO Box 760
Winchester, MA 01890-4260
Phone (781) 756-7273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6175147 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
304 Cambridge Rd
Woburn, MA 01801
Phone (617) 935-5000
Interoperability endpoints
- oconnor.erin.bader@direct.partners.masshiway.net
- https://api.platform.athenahealth.com/6568/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Woburn, MA
- NPI 1306894688
-
- Physical Medicine & Rehabilitation Physician
- Woburn, MA
- NPI 1780660753
-
- Specialist
- Cambridge, MA
- NPI 1407896160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1326219882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018904260",
"telephone_number": "781-756-7273",
"fax_number": "781-756-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 MONTVALE AVE",
"address_2": "SUITE 3700",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021803647",
"telephone_number": "781-438-5543",
"fax_number": "781-756-7274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL BADER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "BADER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-438-5543",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "52061",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "52061",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6175147",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.