Individual provider Active NPI

Bruce M. Weinraub, MD

  • Internal Medicine Physician
  • Northampton, MA
National Provider Identifier
1447225099
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54980 Issued in MA
Practice address
76 Carlon Dr
#C
Northampton, MA 01060-2373
Phone
(413) 585-0700
Fax
(413) 586-7017
NPI assigned
Feb 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
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
Internal Medicine Physician 207R00000X 54980 MA Primary

Addresses

Primary practice location

76 Carlon Dr
#C
Northampton, MA 01060-2373

Mailing address

76 Carlon Dr
#C
Northampton, MA 01060-2373
Phone (413) 585-0700

Other identifiers 9

IdentifierTypeStateIssuer
6198678MedicaidMA
754980OtherMATUFTS
1011206OtherMAAETNA
1024110OtherMACIGNA
66151OtherMAHARVARD PILGRIM
000000007703OtherMABMC
549801OtherMACONNECTICARE
17612OtherMAHEALTH NEW ENGLAND
J04772OtherMABCBSMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040611000447 MA Practitioner - Internal Medicine 4880677632 Reassigns benefits to 1 organization
Practice locations: Northampton, MA
I20240301001775 MS Practitioner - Internal Medicine 4880677632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron E Henry Community Health CurrentSince Feb 28, 2024 Accepting new patients
Aaron E. Henry Community Health Services Center, Inc CurrentSince Feb 28, 2024 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Sep 18, 1985 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Sep 18, 1985 Accepting new patients
Jay S. Fleitman Internal Medicine Past Accepting new patients
Myomedicine, LLC PastSince Dec 5, 2021 Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

600 Ohio Ave
Clarksdale, MS 38614
Phone (662) 624-2872

800 Ohio Ave
Clarksdale, MS 38614
Phone (662) 624-2504

Interoperability endpoints

  • Direct secure messaging: bruce.weinraub.1@29904.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447225099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CARLON DR",
            "address_2": "#C",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602373",
            "telephone_number": "413-585-0700",
            "fax_number": "413-586-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CARLON DR",
            "address_2": "#C",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602373",
            "telephone_number": "413-585-0700",
            "fax_number": "413-586-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINRAUB",
        "first_name": "BRUCE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "54980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6198678",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "754980",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1011206",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1024110",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "66151",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "000000007703",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "549801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "17612",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J04772",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.