Individual provider Active NPI

Bradford C Sampson, M.D.

  • Gastroenterology Physician
  • South Weymouth, MA
National Provider Identifier
1962410548
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
231101 Issued in MA
Practice address
1085 Main St
South Weymouth, MA 02190-1547
Phone
(781) 331-2922
Fax
(781) 335-5702
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 231101 MA Primary

Addresses

Primary practice location

1085 Main St
South Weymouth, MA 02190-1547

Mailing address

1085 Main St
South Weymouth, MA 02190-1547
Phone (781) 331-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000273 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 7911099221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Massachusetts Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Longwater Dr
Loft Suite 201
Norwell, MA 02061-1683

Merit-based Incentive Payment System (MIPS)

Final score
72.58 of 100Reported as group
Quality
58.14
Promoting interoperability
74
Improvement activities
40
Cost
72.13

Merit-based Incentive Payment System (MIPS)

Final score
19.64 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
65.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231101MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Suburban Gastroenterology, PC Gastroenterology CurrentSince Aug 1, 2007 Accepting new patients
South Shore Medical Center, Inc. Gastroenterology CurrentSince Apr 1, 2018 Accepting new patients
Weymouth Endoscopy, LLC PastSince Aug 1, 2007 Accepting new patients

Locations

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922

1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1962410548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 MAIN ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901547",
            "telephone_number": "781-331-2922",
            "fax_number": "781-335-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 MAIN ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901547",
            "telephone_number": "781-331-2922",
            "fax_number": "781-335-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "BRADFORD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "231101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

Verify at the official NPI Registry.