Active NPI
Daniel A Buzard, NP
- Gerontology Nurse Practitioner
- West Roxbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 193025
- Practice address
- 211 Mount Vernon St
West Roxbury, MA 02132-2825 - Phone
- (617) 816-5451
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 193025 | MA | Primary |
Addresses
Primary practice location
211 Mount Vernon St
West Roxbury, MA 02132-2825
Mailing address
211 Mount Vernon St
West Roxbury, MA 02132-2825
Phone (617) 816-5451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1200992 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Medical Care of Boston Management Corporation | Current | Accepting new patients | |
| Hallmark Health System Inc | Gerontology | Past | Accepting new patients |
Locations
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
11 Nevins St
Ste 401
Brighton, MA 02135
Phone (617) 682-7788
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
246 Walnut St
Ste 104
Newtonville, MA 02460
Phone 6172443322104
93 Pond St
Sharon, MA 02067
Phone (781) 784-9212
Interoperability endpoints
- dbuzard460074@direct.bilh.masshiway.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260662400000",
"number": "1376525576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 MOUNT VERNON ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021322825",
"telephone_number": "617-816-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 MOUNT VERNON ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021322825",
"telephone_number": "617-816-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZARD",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2009-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "193025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1200992",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.