Organization Active NPI

Bedford Commons OB GYN PA

  • Obstetrics & Gynecology Physician
  • Bedford, NH
National Provider Identifier
1457359556
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BEDFORD COMMONS OB GYN PA
Practice address
201 Riverway PL
Bedford, NH 03110-6763
Phone
(603) 668-8400
Fax
(603) 629-9346
NPI assigned
Jul 12, 2005
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Dr. Marc F Leclair, M.D.NPI 1285632380
Title
President
Phone
(605) 668-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NH Primary

Addresses

Primary practice location

201 Riverway PL
Bedford, NH 03110-6763

Mailing address

201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000220 NH Part B Supplier - Clinic/Group Practice 3577535673 Receives reassigned benefits from 26 practitioners
Practice locations: Manchester, NH; Windham, NH; Londonderry, NH; Derry, NH; Bedford, NH

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
30D0714905Bedford Commons OB GYN PA201 Riverway PL, Bedford, NH 03110Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

6 Tsienneto Rd
Ste 202
Derry, NH 03038
Phone (603) 695-2560

50 Michels Way
Unit 203
Londonderry, NH 03053

4 Elliot Way
Ste 101
Manchester, NH 03103

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1457359556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106763",
            "telephone_number": "603-668-8400",
            "fax_number": "603-629-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106763",
            "telephone_number": "603-668-8400",
            "fax_number": "603-629-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD COMMONS OB GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LECLAIR",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-668-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.