Gail A Bean, NP
Individual provider Active NPI Nurse Practitioner · Braintree, MA
NPI 1992774137 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1992774137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 146121 (MA)
- Practice address
- 111 Grossman Dr
Braintree, MA 02184-4997 - Phone
- (781) 849-1000
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146121 | MA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 146121 | MA | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 146121 | MA |
Addresses
Primary practice location
111 Grossman Dr
Braintree, MA 02184-4997
Mailing address
147 Milk St
Provider Enrollment - 9TH Floor
Boston, MA 02109-4806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369870 | Medicaid | MA | |
| 39162 | Other | MA | HARVARD PILGRIM |
| NP1807 | Other | MA | BLUE CROSS |
Other providers in Braintree, MA
- Sara Bastin
- Bay Shore Physical Therapy
- Bayada Home Health Care, Inc.
- Habibatu M Bayoh
- Caitlin Beals
- Molly E Bean
- Matthew Beauchesne
- Glowny Clajosen Beauciquot
- Bedrock Counseling LLC
- Lindsay Beebe
All providers in Braintree, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.