Beth Israel Deaconess Medical Cenetr

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

191735 Issued in MA

Legal business name

BETH ISRAEL DEACONESS MEDICAL CENETR

Doing business as

Bowdoin Street Health Center

Practice address

230 Bowdoin St
Dorchester, MA 02122-1817

Phone

(617) 754-0100

Fax

(617) 754-0230

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Miss Adela Margules

Title

Executive Director

Phone

(617) 754-0100

Specialties & licenses 1

Addresses

Other names 1

• Bowdoin Street Health Center Doing business as

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790804623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MANOR ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222468",
            "telephone_number": "617-436-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BOWDOIN ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221817",
            "telephone_number": "617-754-0100",
            "fax_number": "617-754-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL DEACONESS MEDICAL CENETR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARGULES",
        "authorized_official_first_name": "ADELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-754-0100",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "191735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowdoin Street Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Bernier
• Kyle Andrew Bertram, PHARMD
• Marie Bertrand
• Ty Berven
• Best Choice Physical Therapy,Inc
• Beth Israel Lahey Health Pharmacy, Inc.
• Kyrone Beverly
• Khima Bibbin
• Harvey W Bidwell, M.D.
• Kyla Biegun, APRN

• Community Health Clinic/Center in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Community Health Clinic/Center in Massachusetts

• 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.