Individual provider Active NPI

Glenn Dubler, M.D.

  • Orthopaedic Surgery Physician
  • Fall River, MA
National Provider Identifier
1760486047
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
57861 Issued in MA
Practice address
289 Pleasant St
Ste 202
Fall River, MA 02721-3005
Phone
(508) 678-2503
Fax
(508) 646-7641
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 57861 MA Primary

Addresses

Primary practice location

289 Pleasant St
Ste 202
Fall River, MA 02721-3005

Mailing address

289 Pleasant St
Ste 202
Fall River, MA 02721-3005
Phone (508) 678-2503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000324 MA Practitioner - Orthopedic Surgery 8921138520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Emory University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Surgicalists LLCGroup PAC ID 0244553105, 24 clinicians

Practice addresses (Care Compare)

300 A Faunce Corner Rd
North Dartmouth, MA 02747-1280
Phone (508) 973-2211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
Synergy Surgicalists LLC Orthopaedic Surgery CurrentSince Nov 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
Prima Care, PC Orthopaedic Surgery CurrentSince Dec 15, 1999 Accepting new patients
Prima Care, PC CurrentSince Dec 15, 1999 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

1151 Robeson St
Ste 101
Fall River, MA 02720

289 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 677-0733

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: gdubler20898@direct.southcoast.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1760486047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-678-2503",
            "fax_number": "508-646-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-678-2503",
            "fax_number": "508-646-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBLER",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "57861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.