Active NPI
Bradford Navia
- Internal Medicine Physician
- Sudbury, MA
National Provider Identifier
1376925115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 56112
- Practice address
- 14 Twin Pond LN
Sudbury, MA 01776-1132 - Phone
- (978) 443-1966
- NPI assigned
- Jun 28, 2015
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56112 | MA | Primary |
Addresses
Primary practice location
14 Twin Pond LN
Sudbury, MA 01776-1132
Mailing address
14 Twin Pond LN
Sudbury, MA 01776-1132
Phone (978) 443-1966
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56112 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435449600000",
"number": "1376925115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 TWIN POND LN",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761132",
"telephone_number": "978-443-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 TWIN POND LN",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761132",
"telephone_number": "978-443-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVIA",
"first_name": "BRADFORD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-28",
"last_updated": "2015-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "56112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.