Active NPI
Noel Blagg, M.D.
- Internal Medicine Physician
- Pittsfield, MA
National Provider Identifier
1952394355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39360
- Practice address
- 777 North St
Suite 207
Pittsfield, MA 01201-4147 - Phone
- (413) 499-8510
- Fax
- (413) 499-8553
- NPI assigned
- Aug 31, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39360 | MA | Primary |
Addresses
Primary practice location
777 North St
Suite 207
Pittsfield, MA 01201-4147
Mailing address
777 North St
Suite 207
Pittsfield, MA 01201-4147
Phone (413) 499-8510
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110212119 | Other | MA | RAILROAD MEDICARE |
| 043531502 | Other | MA | GIC INDEMNITY |
| 043531502 | Other | MA | HMC PPO |
| 10655 | Other | MA | HEALTH NEW ENGLAND |
| 113335 | Other | MA | MVP |
| 039360 | Other | MA | TUFTS |
| D82852 | Other | MA | HARVARD |
| 000000020926 | Other | MA | HEALTHNET |
| 0167916 | Medicaid | MA | |
| 10034412 | Other | MA | CAPITAL PHYSICIANS HEALTH |
| 043531502 | Other | MA | CIGNA INDEMNITY |
| 3871967 | Other | MI | CIGNA/HEALTHSOURCE HMO |
| I22278 | Other | MA | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39360 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Medical Group PC | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Pittsfield, MA
- NPI 1326110768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1952394355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 NORTH ST",
"address_2": "SUITE 207",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014147",
"telephone_number": "413-499-8510",
"fax_number": "413-499-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NORTH ST",
"address_2": "SUITE 207",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014147",
"telephone_number": "413-499-8510",
"fax_number": "413-499-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAGG",
"first_name": "NOEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "39360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110212119",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIC INDEMNITY",
"identifier": "043531502",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMC PPO",
"identifier": "043531502",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "10655",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "113335",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "039360",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "D82852",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "000000020926",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0167916",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL PHYSICIANS HEALTH",
"identifier": "10034412",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INDEMNITY",
"identifier": "043531502",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/HEALTHSOURCE HMO",
"identifier": "3871967",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "I22278",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.