Organization Active NPI

Bristol Diabetes & Endocrinology

  • Specialist
  • Taunton, MA
National Provider Identifier
1790792828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
79137 Issued in MA
Legal business name
BRISTOL DIABETES & ENDOCRINOLOGY
Practice address
2005 Bay St
Suite 204B
Taunton, MA 02780-1085
Phone
(508) 821-9400
Fax
(508) 821-9151
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James A Warshaw
Title
President
Phone
(508) 821-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 79137 MA Primary

Addresses

Primary practice location

2005 Bay St
Suite 204B
Taunton, MA 02780-1085

Mailing address

2005 Bay St
Suite 204B
Taunton, MA 02780-1085
Phone (508) 821-9400

National Provider Directory

National Provider Directory

Locations

2005 Bay St
Ste 204B
Taunton, MA 02780
Phone (508) 821-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790792828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BAY ST",
            "address_2": "SUITE 204B",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-821-9400",
            "fax_number": "508-821-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BAY ST",
            "address_2": "SUITE 204B",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-821-9400",
            "fax_number": "508-821-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL DIABETES & ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARSHAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-821-9400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "79137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.