Mr. Kevin D Balderrama, MD
Student in an Organized Health Care Education/Training Program in Springfield, Massachusetts
1205568482- Practice location
- Baystate Medical Center 759 Chestnut Street Springfield, Springfield, MA 01199-0001
- Phone
- 413-794-0000
- Fax
- —
- Last updated
- June 27, 2022
Kevin Daniel Balderrama is a Student in an Organized Health Care Education/Training Program based in Springfield, MA. Kevin Daniel Balderrama practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Kevin Daniel Balderrama is 1205568482. The current practice location address for Kevin Daniel Balderrama is Baystate Medical Center 759 Chestnut Street Springfield, Springfield, MA 01199-0001 and can be reached out via phone at 413-794-0000.
Provider Profile Details
- NPI Number
- 1205568482
- Provider Name
- Kevin Daniel Balderrama
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Baystate Medical Center 759 Chestnut Street Springfield, Springfield, MA 01199-0001
- Phone Number
- 413-794-0000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 27, 2022
- Last Update Date
- June 27, 2022
- Certification Date
- June 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Baystate Medical Center 759 Chestnut Street Springfield
Springfield, MA 01199-0001 - City
- Springfield
- State
- Massachusetts
- Zip
- 01199-0001
- Phone Number
- 413-794-0000
Provider Business Mailing Address Details
- Address
- Baystate Medical Center 759 Chestnut Street Springfield
Springfield, MA 01199-0001 - City
- Springfield
- State
- MA
- Zip
- 01199-0001
- Phone Number
- 413-794-0000
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Kevin D Balderrama, MD?
The NPI number of Mr. Kevin D Balderrama, MD is 1205568482. It was assigned on June 27, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Kevin D Balderrama, MD?
Mr. Kevin D Balderrama, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Mr. Kevin D Balderrama, MD practice?
The practice location is Baystate Medical Center 759 Chestnut Street Springfield, Springfield, MA 01199-0001. The office can be reached at 413-794-0000 (phone).
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 1205568482 directly on the NPPES registry website.