Active NPI
David Dubuisson, M.D.
- Neurological Surgery Physician
- Duxbury, MA
National Provider Identifier
1487632543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 50934
- Practice address
- 95 Tremont St
Suite 15
Duxbury, MA 02332-4738 - Phone
- (781) 934-7988
- Fax
- (781) 934-7989
- NPI assigned
- Jan 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 50934 | MA | Primary |
Addresses
Primary practice location
95 Tremont St
Suite 15
Duxbury, MA 02332-4738
Mailing address
95 Tremont St
Suite 15
Duxbury, MA 02332-4738
Phone (781) 934-7988
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110064938A | Medicaid | MA | |
| J02373 | Other | MA | BLUE CROSS BLUE SHIELD |
| 249509500 | Other | MA | US DEPT OF LABOR |
| 702659 | Other | MA | TUFTS |
| AA43674 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50934 | MA | MD | Neurological Surgery Physician |
| 22792 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Neurological Surgery | Past | Accepting new patients |
| Prisma Health-Midlands | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Boston, MA
- NPI 1720037385
Neurological Surgery
-
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1487632543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 TREMONT ST",
"address_2": "SUITE 15",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324738",
"telephone_number": "781-934-7988",
"fax_number": "781-934-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 TREMONT ST",
"address_2": "SUITE 15",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324738",
"telephone_number": "781-934-7988",
"fax_number": "781-934-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBUISSON",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-08",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MA",
"license": "50934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110064938A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J02373",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "249509500",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "702659",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA43674",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.