Organization Active NPI

Bickford Health Associates, PC

  • Internal Medicine Physician
  • Yarmouth Port, MA
National Provider Identifier
1447220892
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
156601 Issued in MA
Legal business name
BICKFORD HEALTH ASSOCIATES, PC
Practice address
714 Main St
Suite 706a
Yarmouth Port, MA 02675-2000
Phone
(508) 362-1600
Fax
(508) 362-1616
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Susan A Hawley, MD
Title
MD/Partner
Phone
(508) 362-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 156601 MA Primary

Addresses

Primary practice location

714 Main St
Suite 706a
Yarmouth Port, MA 02675-2000

Mailing address

714 Main St
Suite 706a
Yarmouth Port, MA 02675-2000
Phone (508) 362-1600

Other identifiers 3

IdentifierTypeStateIssuer
CI3728OtherMARAILROAD MEDICARE
9776265MedicaidMA
M16138OtherMABCBS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0081096Bickford Health Associates714 Main Street Route 6a Suite 706a, Yarmouth Port, MA 02675Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

714 Main St
#6A
Yarmouth Port, MA 02675
Phone (508) 362-1600

714 Route 6A
#706A
Yarmouth Port, MA 02675
Phone (508) 362-1600

714 Main St
Ste 706A
Yarmouth Port, MA 02675
Phone (508) 362-1600

Practitioners & affiliated clinicians

Practitioners 7

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1447220892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "address_2": "SUITE 706A",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752000",
            "telephone_number": "508-362-1600",
            "fax_number": "508-362-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "address_2": "SUITE 706A",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752000",
            "telephone_number": "508-362-1600",
            "fax_number": "508-362-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKFORD HEALTH ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "508-362-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "156601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI3728",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9776265",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M16138",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.