Active NPI
Douglas A Burd, MD
- Diagnostic Radiology Physician
- Templeton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 072877
- Practice address
- 14 Rice Rd
Templeton, MA 01468-1332 - Phone
- (978) 939-2035
- Fax
- (978) 939-2039
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 72877 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 072877 | MA | Primary |
Addresses
Primary practice location
14 Rice Rd
Templeton, MA 01468-1332
Mailing address
PO Box 1045
Worcester, MA 01613-1045
Phone (978) 939-2035
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29565 | Other | FALLON COMMUNITY HEALTH PLAN | |
| 3063984 | Medicaid | MA | |
| 750009 | Other | TUFTS HEALTH PLAN | |
| J09749 | Other | BLUE CROSS BLUE SHIELD | |
| 99931305 | Other | MA | NETWORK HEALTH |
| 0007041 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 3063984 | Other | MA | HEALTHY START |
| AA92251 | Other | HARVARD PILGRIM HEALTH CARE | |
| 40004 | Other | HEALTH NEW ENGLAND |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123000124 | MA | Practitioner - Diagnostic Radiology | 4981669546 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Massachusetts Medical School, 1989
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (978) 939-2035
88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000
Hospital & facility affiliations
- St Vincent Hospital
- Metrowest Medical Center
- Brown University Health Morton Hospital
- Saint Anne'S Hospital
- Tufts Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72877 | MA | MD | Neuroradiology Physician |
| 072877 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Pratt Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Saint Vincent Radiological Associates Inc | Neuroradiology | Current | Accepting new patients |
| Lifespan Corporation | Current | Accepting new patients | |
| Lifespan Physician Group of Massachusetts Inc | Diagnostic Radiology | Current | Accepting new patients |
| TMC Radiology Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Boston University Medical Center Radiologists, Inc. | Neuroradiology | Past | Accepting new patients |
| Team Physicians, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
100 Grove St
Worcester, MA 01605
Phone (508) 752-3763
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
Interoperability endpoints
- dburd235792@brownhealth.medalliesdirect.net
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.
-
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1366482093
MA, Neuroradiology
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1154361780
Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1851046726
Diagnostic Radiology, MA
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
Neuroradiology
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1942232194
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
Hospital
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
Hospital
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
Hospital
-
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1851330682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1045",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016131045",
"telephone_number": "978-939-2035",
"fax_number": "978-939-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICE RD",
"city": "TEMPLETON",
"state": "MA",
"postal_code": "014681332",
"telephone_number": "978-939-2035",
"fax_number": "978-939-2039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURD",
"first_name": "DOUGLAS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MA",
"license": "72877",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "072877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH PLAN",
"identifier": "29565",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3063984",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "750009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J09749",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "99931305",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0007041",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "3063984",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "AA92251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "40004",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Templeton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.