Individual provider Active NPI

Douglas Gary Bentley, M.D.

  • Orthopaedic Surgery Physician
  • Norwood, MA
National Provider Identifier
1447243563
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
48739 Issued in MA
Practice address
24 Guild St
Norwood, MA 02062-3425
Phone
(781) 762-4330
Fax
(781) 762-0140
NPI assigned
Aug 24, 2005
Reactivated
Apr 14, 2006
Last updated
Aug 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 48739 MA Primary

Addresses

Primary practice location

24 Guild St
Norwood, MA 02062-3425

Mailing address

24 Guild St
Norwood, MA 02062-3425
Phone (781) 762-4330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000599 MA Practitioner - Orthopedic Surgery 8426082777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Boston University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saperia Orthopaedics and Sports Medicine IncGroup PAC ID 4486759891, 4 clinicians

Practice addresses (Care Compare)

72 Washington St
Suite 2600
Taunton, MA 02780-7410
Phone (508) 824-1824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48739MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saperia Orthopaedics and Sports Medicine, Inc. Orthopaedic Surgery CurrentSince Oct 1, 2018 Accepting new patients
Bristol Pulmonary and Sleep Medicine P.C. PastSince Dec 9, 2019 Accepting new patients

Locations

72 Washington St
Ste 2100
Taunton, MA 02780
Phone (508) 823-2762

72 Washington St
Ste 2600
Taunton, MA 02780
Phone (508) 824-1824

Organizations & group practices 3

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1447243563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GUILD ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623425",
            "telephone_number": "781-762-4330",
            "fax_number": "781-762-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GUILD ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623425",
            "telephone_number": "781-762-4330",
            "fax_number": "781-762-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "DOUGLAS",
        "middle_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2009-08-19",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "48739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.