Individual provider Active NPI

Joel G Bleier, MD

  • Allergy Physician
  • Medford, MA
National Provider Identifier
1912904624
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
42472 Issued in MA
Practice address
1 City Hall Mall
Medford, MA 02155-4770
Phone
(781) 395-2922
Fax
(781) 393-8905
NPI assigned
Jul 7, 2005
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 42472 MA Primary

Addresses

Primary practice location

1 City Hall Mall
Medford, MA 02155-4770

Mailing address

1 City Hall Mall
Medford, MA 02155-4770
Phone (781) 395-2922

Other identifiers 2

IdentifierTypeStateIssuer
042763605OtherMAMISC. HMO
042472OtherMATUFTS HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42472MAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Physicians PC Allergy PastSince Jul 1, 1982 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGCAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1912904624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CITY HALL MALL",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554770",
            "telephone_number": "781-395-2922",
            "fax_number": "781-393-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CITY HALL MALL",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554770",
            "telephone_number": "781-395-2922",
            "fax_number": "781-393-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEIER",
        "first_name": "JOEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "42472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISC. HMO",
            "identifier": "042763605",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HMO",
            "identifier": "042472",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.