Mark Gary Hibberd, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

72050 Issued in MA

Practice address

Bristol Meyers Squibb Med. Imaging
331 Treble Cove Road
N. Billerica, MA 01862

Phone

(978) 671-8534

NPI assigned

Nov 23, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2007.

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1346421997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HUDSON RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217839",
            "telephone_number": "978-671-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRISTOL MEYERS SQUIBB MED. IMAGING",
            "address_2": "331 TREBLE COVE ROAD",
            "city": "N. BILLERICA",
            "state": "MA",
            "postal_code": "01862",
            "telephone_number": "978-671-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBERD",
        "first_name": "MARK GARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "72050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Bernde Aime Noel, MD
• Katelyn Anderson
• Sarah Isabel Bierly
• James Hovannes Fantazian, OD
• Guardian Angel Senior Services, Inc.
• Janet S Krefting DDS & Richard W. Waldman DMD,PC
• Janet Krefting, DMD
• Qin Meng, M.ACU
• Kulusum Nakachwa, LPN
• Yudaya Nakiwala-McCain

• All providers in N. Billerica, MA
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.