Active NPI
Adam Michael Bernstein, MD
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1730114794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 228267
- Practice address
- 133 Brookline Avenue
Harvard Vanguard Med. Assoc. Urgent Care
Boston, MA 02215 - Phone
- (617) 421-1192
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 228267 | MA | Primary |
Addresses
Primary practice location
133 Brookline Avenue
Harvard Vanguard Med. Assoc. Urgent Care
Boston, MA 02215
Mailing address
133 Brookline Avenue
Harvard Vanguard Med. Assoc. Urgent Care
Boston, MA 02215
Phone (617) 421-1192
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90438 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1730114794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVENUE",
"address_2": "HARVARD VANGUARD MED. ASSOC. URGENT CARE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-421-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVENUE",
"address_2": "HARVARD VANGUARD MED. ASSOC. URGENT CARE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-421-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "228267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.