Active NPI
Paul A Bleicher, M.D., PHD
- Dermatology Physician
- Boston, MA
National Provider Identifier
1356389654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 55646
- Practice address
- 1380 Soldiers Field Rd
Humedica
Boston, MA 02135-1023 - Phone
- (781) 738-6721
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 55646 | MA | Primary |
Addresses
Primary practice location
1380 Soldiers Field Rd
Humedica
Boston, MA 02135-1023
Mailing address
174 Mount Vernon St
Newton, MA 02465-2517
Phone (781) 738-6721
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55646 | MA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1356389654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 MOUNT VERNON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024652517",
"telephone_number": "781-738-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 SOLDIERS FIELD RD",
"address_2": "HUMEDICA",
"city": "BOSTON",
"state": "MA",
"postal_code": "021351023",
"telephone_number": "781-738-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEICHER",
"first_name": "PAUL",
"middle_name": "A",
"credential": "M.D., PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "55646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.