Active NPI
Jenna Bahadir, MD
- Surgery Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 291813
- Practice address
- 235 N Pearl St
Brockton, MA 02301-1794 - Phone
- (508) 427-3000
- NPI assigned
- Apr 10, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 24555 | NH | |
| Surgery Physician | 208600000X | 291813 | MA | Primary |
Addresses
Primary practice location
235 N Pearl St
Brockton, MA 02301-1794
Mailing address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-4440
Other practice location 1
789 Central Ave
Dover, NH 03820-2526
Phone (603) 749-2266
Other practice location 2
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-4440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennabahadir@creighton.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Arizona College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 Lincoln St
Suite 410
Framingham, MA 01702-8200
Phone (508) 820-1650
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291813 | MA | MD | Surgery Physician |
| 24555 | NH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| VHM Services, Inc. | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| VHM Services Inc | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Saint Vincent Physician Services, Inc. | Surgery | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
260 Cochituate Rd
Ste 101
Framingham, MA 01701
Phone (508) 628-9660
85 Lincoln St
Ste 410
Framingham, MA 01702
Phone (508) 250-0670
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444
102 Shore Dr
Ste 403
Worcester, MA 01605
Phone (508) 852-5230
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
789 Central Ave
#1
Dover, NH 03820
Phone (603) 609-6260
Interoperability endpoints
- jenna.bahadir.1@626.direct.athenahealth.com
- jenna.bahadir.1@966.direct.athenahealth.com
- jbahadir205963@direct.renown.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Framingham, MA
- NPI 1508818618
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Obstetrics & Gynecology Physician
- Milford, MA
- NPI 1760566350
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- Addiction (Substance Use Disorder) Counselor
- Dover, NH
- NPI 1710504683
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1780048322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134409",
"telephone_number": "602-406-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011794",
"telephone_number": "508-427-3000"
}
],
"practiceLocations": [
{
"address_1": "789 Central Ave",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038202526",
"country_code": "US",
"telephone_number": "603-749-2266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 W Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850134409",
"country_code": "US",
"telephone_number": "602-406-4440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAHADIR",
"first_name": "JENNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-10",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "24555",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "291813",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennabahadir@creighton.edu",
"affiliation": "N",
"address_1": "350 W Thomas Rd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850134409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.