Individual provider Active NPI

Bruce Novis, M.D.

  • Anesthesiology Physician
  • Norwood, MA
National Provider Identifier
1821036377
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
157606 Issued in MA
Practice address
800 Washington St
Anesthesia Dept
Norwood, MA 02062-3487
Phone
(781) 278-6524
Fax
(781) 762-1750
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 157606 MA Primary

Addresses

Primary practice location

800 Washington St
Anesthesia Dept
Norwood, MA 02062-3487

Mailing address

PO Box 845044
MVP Anesthesia
Boston, MA 02284-5044
Phone (800) 720-1664

Other identifiers 2

IdentifierTypeStateIssuer
050073047OtherRAILROAD MEDICARE
3189414MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091130000414 MA Practitioner - Anesthesiology 3678593886 Reassigns benefits to 2 organizations
I20170816001428 RI Practitioner - Anesthesiology 3678593886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Chicago, Pritzker School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Anesthesia PCGroup PAC ID 8820136377, 52 clinicians

Practice addresses (Care Compare)

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7642

Hospital & facility affiliations

  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157606MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Matrix Anesthesia, PC Anesthesiology CurrentSince Oct 1, 2009 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

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

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1821036377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845044",
            "address_2": "MVP ANESTHESIA",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022845044",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "ANESTHESIA DEPT",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623487",
            "telephone_number": "781-278-6524",
            "fax_number": "781-762-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIS",
        "first_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "157606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050073047",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3189414",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.