Individual provider Active NPI

Bruce Nayowith, M.D.

  • Emergency Medicine Physician
  • Great Barrington, MA
National Provider Identifier
1558461087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
210687 Issued in MA
Practice address
29 Lewis Ave
Fairview Hospital Emergency Dept
Great Barrington, MA 01230-1713
Phone
(413) 854-9638
Fax
(413) 854-9639
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 210687 MA Primary

Addresses

Primary practice location

29 Lewis Ave
Fairview Hospital Emergency Dept
Great Barrington, MA 01230-1713

Mailing address

29 Lewis Ave
Fairview Hospital Emergency Dept
Great Barrington, MA 01230-1713
Phone (413) 854-9638

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

LicenseStateTypeSpecialty
210687MAMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558461087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "address_2": "FAIRVIEW HOSPITAL EMERGENCY DEPT",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301713",
            "telephone_number": "413-854-9638",
            "fax_number": "413-854-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "address_2": "FAIRVIEW HOSPITAL EMERGENCY DEPT",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301713",
            "telephone_number": "413-854-9638",
            "fax_number": "413-854-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYOWITH",
        "first_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "210687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.