Active NPIIndividual provider

Dr. Bradley L Demeter, MD

Emergency Medicine in Beverly, Massachusetts

NPI Number1417243270
Practice location
85 Herrick St, Beverly, MA 01915-1777
Fax
978-524-6028
Last updated
March 21, 2020

Bradley Louis Demeter is an Emergency Medicine based in Beverly, MA. Bradley Louis Demeter practices in Beverly, MA and has the professional credentials of MD. The NPI Number for Bradley Louis Demeter is 1417243270 and holds a License No. 258161 (MA). The current practice location address for Bradley Louis Demeter is 85 Herrick St, Beverly, MA 01915-1777 and can be reached out via phone at 978-922-3000 and via fax at 978-524-6028.

Provider Profile Details

NPI Number
1417243270
Provider Name
Bradley Louis Demeter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
85 Herrick St, Beverly, MA 01915-1777
Phone Number
978-922-3000
Fax Number
978-524-6028
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2011
Last Update Date
March 21, 2020
Certification Date
March 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Herrick St
Beverly, MA 01915-1777
Zip
01915-1777
Phone Number
978-922-3000
Fax Number
978-524-6028
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
85 Herrick St
Beverly, MA 01915-1790
City
Beverly
State
MA
Zip
01915-1790
Phone Number
978-922-3000
Fax Number
978-524-6028

License Information

License Number (1)
258161
License State (1)
MA
Taxonomy (1)
Emergency Medicine · 207P00000X · Primary
License Number (2)
01072493A
License State (2)
IN
Taxonomy (2)
Emergency Medicine · 207P00000X

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. Bradley L Demeter, MD?

The NPI number of Dr. Bradley L Demeter, MD is 1417243270. It was assigned on June 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Bradley L Demeter, MD?

Dr. Bradley L Demeter, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 258161.

Where does Dr. Bradley L Demeter, MD practice?

The practice location is 85 Herrick St, Beverly, MA 01915-1777. The office can be reached at 978-922-3000 (phone) or 978-524-6028 (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 1417243270 directly on the NPPES registry website.

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