Organization Active NPI

Bamberger Consulting Group PC

  • Urology Physician
  • Leominster, MA
National Provider Identifier
1497368732
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
BAMBERGER CONSULTING GROUP PC
Practice address
50 Memorial Dr Ste 108
Leominster, MA 01453-2238
Phone
(978) 466-2280
Fax
(978) 466-2282
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Mitchell Bamberger, MDNPI 1235108374
Title
President
Phone
(508) 954-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

50 Memorial Dr Ste 108
Leominster, MA 01453-2238

Mailing address

33 Carriage Hill Cir
Southborough, MA 01772-1341
Phone (508) 954-9988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317001569 MA Part B Supplier - Clinic/Group Practice 6305252370 Receives reassigned benefits from 1 practitioner
Practice locations: Leominster, MA

National Provider Directory

National Provider Directory

Locations

50 Memorial Dr
Ste 108
Leominster, MA 01453
Phone (978) 466-2280

Practitioners & affiliated clinicians

Practitioners 1

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": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1497368732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CARRIAGE HILL CIR",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721341",
            "telephone_number": "508-954-9988",
            "fax_number": "508-393-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DR STE 108",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-466-2280",
            "fax_number": "978-466-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBERGER CONSULTING GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "BAMBERGER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-954-9988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.