NPIMap

Individual provider Active NPI

Mitchell Alan Hardenbrook, MD

  • Orthopaedic Surgery of the Spine Physician
  • Hopedale, MA
National Provider Identifier
1689636037
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
213207 Issued in MA
Practice address
54 Hopedale St Ste 3
Hopedale, MA 01747-1719
Phone
(508) 297-8500
Fax
(508) 297-8540
NPI assigned
Apr 3, 2006
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 213207 MA Primary

Addresses

Primary practice location

54 Hopedale St Ste 3
Hopedale, MA 01747-1719

Mailing address

54 Hopedale St Ste 3
Hopedale, MA 01747-1719
Phone (508) 297-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000077 MA Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 8325133481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Spine and Scoliosis, PCGroup PAC ID 7517052673, 4 clinicians

Practice addresses (Care Compare)

54 Hopedale St
Suite 3
Hopedale, MA 01747-1719
Phone (508) 297-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion370
Laminectomy or laminotomy (partial removal of spine bones)115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213207MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Spine and Scoliosis, PC Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2007 Accepting new patients
Urology Specialists of Milford LLC PastSince Sep 1, 2007 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Newton-Wellesley Hospital Past Accepting new patients

Locations

6 Boston Rd
Ste 103
Chelmsford, MA 01824
Phone (508) 297-8500

54 Hopedale St
Ste 3
Hopedale, MA 01747
Phone (508) 297-8500

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1689636037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOPEDALE ST STE 3",
            "city": "HOPEDALE",
            "state": "MA",
            "postal_code": "017471719",
            "telephone_number": "508-297-8500",
            "fax_number": "508-297-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOPEDALE ST STE 3",
            "city": "HOPEDALE",
            "state": "MA",
            "postal_code": "017471719",
            "telephone_number": "508-297-8500",
            "fax_number": "508-297-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDENBROOK",
        "first_name": "MITCHELL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "213207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopedale, MA

Sources for this page

Verify at the official NPI Registry.