MD Visits LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MD VISITS LLC

Practice address

162 Highland Moors Dr.
Brewster, MA 02631

Phone

(508) 922-8312

Fax

(508) 999-3133

NPI assigned

Jan 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Paul Ignatius Bulat, M.D.

Title

Ceo

Phone

(508) 922-8312

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1407214901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 HIGHLAND MOORS DR",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311557",
            "telephone_number": "508-922-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 HIGHLAND MOORS DR.",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "02631",
            "telephone_number": "508-922-8312",
            "fax_number": "508-999-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD VISITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "BULAT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "IGNATIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-922-8312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116084",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Brewster, MA
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• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.