NPIMap

Organization Active NPI

Bernard J. Durante,MD,PC

  • Clinical Medical Laboratory
  • Plymouth, MA
National Provider Identifier
1386089167
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
58069 Issued in MA
Legal business name
BERNARD J. DURANTE,MD,PC
Practice address
55 Obery St
Plymouth, MA 02360-2181
Phone
(508) 746-8977
NPI assigned
May 7, 2013
Organization subpart
Yes
Parent organization
BERNARD J. DURANTE, MD,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Dr. Bernard J Durante, MD, PC,DBA
Title
President
Phone
(508) 746-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 58069 MA Primary

Addresses

Primary practice location

55 Obery St
Plymouth, MA 02360-2181

Mailing address

30 Aldrin Rd
Plymouth, MA 02360-4804
Phone (508) 746-8977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000665 MA Part B Supplier - Clinic/Group Practice 3577539410 Receives reassigned benefits from 21 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plymouth, MA; Weymouth, MA; Hyannis, MA; Bourne, MA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Timothy Hurlburt

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

30 Aldrin Rd
Plymouth, MA 02360
Phone (508) 746-8977

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1386089167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ALDRIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604804",
            "telephone_number": "508-746-8977",
            "fax_number": "508-747-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OBERY ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602181",
            "telephone_number": "508-746-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD J. DURANTE,MD,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERNARD J. DURANTE, MD,PC",
        "enumeration_date": "2013-05-07",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "DURANTE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-746-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PC,DBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "58069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.