Active NPI
Michael Bralower, M.D.
- Neurology Physician
- Lowell, MA
National Provider Identifier
1700879517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 36048
- Practice address
- 10 George St
Suite 300
Lowell, MA 01852-2293 - Phone
- (978) 458-1463
- Fax
- (978) 454-3051
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 36048 | MA | Primary |
Addresses
Primary practice location
10 George St
Suite 300
Lowell, MA 01852-2293
Mailing address
161 Jackson St
Lowell, MA 01852-2103
Phone (978) 746-7867
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05069 | Other | MA | BCBSMA |
| 2044242 | Medicaid | MA | |
| 23558 | Other | MA | FCHP |
| 700569 | Other | MA | THP |
| 4475131 | Other | MA | AETNA |
| 0102752Y0MA01 | Other | NH | ANTHEM |
| 0344470001 | Other | MA | CIGNA |
| 11728 | Other | MA | HPHC |
| 00000018 | Medicaid | NH | |
| 0003746 | Other | MA | NHP |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1700879517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 JACKSON ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522103",
"telephone_number": "978-746-7867",
"fax_number": "978-746-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GEORGE ST",
"address_2": "SUITE 300",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522293",
"telephone_number": "978-458-1463",
"fax_number": "978-454-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRALOWER",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "36048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "C05069",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2044242",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHP",
"identifier": "23558",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THP",
"identifier": "700569",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4475131",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0102752Y0MA01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0344470001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "11728",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000018",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0003746",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.