Individual provider Active NPI

Alfred James Bax, MD

  • Surgery Physician
  • Lewiston, NY
National Provider Identifier
1376544726
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1280761 Issued in NY
Practice address
5320 Military Rd
Ste 101
Lewiston, NY 14092-2149
Phone
(716) 297-8149
Fax
(716) 298-1680
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1280761 NY Primary

Addresses

Primary practice location

5320 Military Rd
Ste 101
Lewiston, NY 14092-2149

Mailing address

5320 Military Rd
Ste 101
Lewiston, NY 14092-2149
Phone (716) 297-8149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627000605 NY Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 1456254143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1280761NYMDSurgery Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376544726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "STE 101",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-297-8149",
            "fax_number": "716-298-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "STE 101",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-297-8149",
            "fax_number": "716-298-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAX",
        "first_name": "ALFRED",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "1280761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.