Individual provider Active NPI

Bruce Raymond Marcel, MD

  • Gastroenterology Physician
  • Plymouth, MA
National Provider Identifier
1770540346
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
36045 Issued in MA
Practice address
47 Obery St
Ste 201
Plymouth, MA 02360-2230
Phone
(508) 747-1560
Fax
(508) 747-5155
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 36045 MA Primary

Addresses

Primary practice location

47 Obery St
Ste 201
Plymouth, MA 02360-2230

Mailing address

47 Obery St
Ste 201
Plymouth, MA 02360-2230
Phone (508) 747-1560

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
I20051019000956 MA Practitioner - Gastroenterology 9638195670 Practice locations: Plymouth, MA

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1770540346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OBERY ST",
            "address_2": "STE 201",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602230",
            "telephone_number": "508-747-1560",
            "fax_number": "508-747-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OBERY ST",
            "address_2": "STE 201",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602230",
            "telephone_number": "508-747-1560",
            "fax_number": "508-747-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCEL",
        "first_name": "BRUCE",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "36045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.