Active NPI
Bruce P Abbott, MD
- Neurology Physician
- New Bedford, MA
National Provider Identifier
1760485155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 42603
- Practice address
- 101 Page St
New Bedford, MA 02740-3464 - Phone
- (508) 961-5919
- Fax
- (508) 961-5916
- NPI assigned
- May 31, 2005
- Last updated
- Apr 17, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 42603 | MA | |
| Neurology Physician | 2084N0400X | 42603 | MA | Primary |
Addresses
Primary practice location
101 Page St
New Bedford, MA 02740-3464
Mailing address
200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003723 | Other | MA | NEIGHBORHOOD HEALTH |
| 9467651001 | Other | MA | CIGNA |
| 0185183 | Medicaid | MA | |
| 042603 | Other | MA | TUFTS/SECURE HORIZON |
| B33632 | Other | MA | HMO BLUE |
| AA80839 | Other | MA | HPHC |
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": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1760485155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "SUITE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PAGE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027403464",
"telephone_number": "508-961-5919",
"fax_number": "508-961-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "BRUCE",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "42603",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "42603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0003723",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9467651001",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0185183",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS/SECURE HORIZON",
"identifier": "042603",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "B33632",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA80839",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.