NPIMap

Organization Active NPI

Bernard J Durante MD PC

  • Sleep Specialist (PhD)
  • Bourne, MA
National Provider Identifier
1700809142
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Legal business name
BERNARD J DURANTE MD PC
Practice address
1 County Rd
Bourne, MA 02532-3756
Phone
(508) 759-0916
Fax
(508) 759-0995
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Dr. Bernard Joseph Durante, MDNPI 1164400040
Title
President
Phone
(508) 759-0916

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
Sleep Specialist (PhD)Group: 193200000X MULTI-SPECIALTY GROUP 173F00000X Primary

Addresses

Primary practice location

1 County Rd
Bourne, MA 02532-3756

Mailing address

30 Aldrin Rd
Plymouth, MA 02360-4804
Phone (508) 746-8977

Other practice location 1

544 Main St
Weymouth, MA 02190-1818
Phone (508) 746-8977

Other names 1

  • South Shore Sleep Diagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040902000665 MA Part B Supplier - Clinic/Group Practice 3577539410 Receives reassigned benefits from 21 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plymouth, MA; Weymouth, MA; Hyannis, MA; Bourne, MA
O20070830000272 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3577539410 Practice locations: Bourne, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Timothy Hurlburt4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Obery St
Plymouth, MA 02360
Phone (508) 746-0197

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1700809142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ALDRIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604804",
            "telephone_number": "508-746-8977",
            "fax_number": "508-747-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COUNTY RD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323756",
            "telephone_number": "508-759-0916",
            "fax_number": "508-759-0995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 Main St",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021901818",
            "country_code": "US",
            "telephone_number": "508-746-8977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERNARD J DURANTE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "DURANTE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-759-0916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Sleep Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bourne, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.