Active NPIIndividual provider

Dr. Mark S Bauer, MD

Psychiatry & Neurology, Psychiatry in Jamaica Plain, Massachusetts

NPI Number1053340315
Practice location
150 S Huntington Ave, VA Boston Healthcare System - 152M, Jamaica Plain, MA 02130-4817
Fax
857-364-6140
Last updated
February 9, 2011

Mark Stephen Bauer is a Psychiatry & Neurology, Psychiatry based in Jamaica Plain, MA. Mark Stephen Bauer practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Mark Stephen Bauer is 1053340315 and holds a License No. 74779 (MA). The current practice location address for Mark Stephen Bauer is 150 S Huntington Ave, VA Boston Healthcare System - 152M, Jamaica Plain, MA 02130-4817 and can be reached out via phone at 857-364-6380 and via fax at 857-364-6140.

Provider Profile Details

NPI Number
1053340315
Provider Name
Mark Stephen Bauer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 S Huntington Ave, VA Boston Healthcare System - 152M, Jamaica Plain, MA 02130-4817
Phone Number
857-364-6380
Fax Number
857-364-6140
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2006
Last Update Date
February 9, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 S Huntington Ave
VA Boston Healthcare System - 152M
Jamaica Plain, MA 02130-4817
Zip
02130-4817
Phone Number
857-364-6380
Fax Number
857-364-6140
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
150 S Huntington Ave
VA Boston Healthcare System - 152M
Jamaica Plain, MA 02130-4817
City
Jamaica Plain
State
MA
Zip
02130-4817
Phone Number
857-364-6380
Fax Number
857-364-6140

License Information

License Number
74779
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark S Bauer, MD?

The NPI number of Dr. Mark S Bauer, MD is 1053340315. It was assigned on June 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark S Bauer, MD?

Dr. Mark S Bauer, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 74779.

Where does Dr. Mark S Bauer, MD practice?

The practice location is 150 S Huntington Ave, VA Boston Healthcare System - 152M, Jamaica Plain, MA 02130-4817. The office can be reached at 857-364-6380 (phone) or 857-364-6140 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053340315 directly on the NPPES registry website.

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