Active NPIIndividual providerSole proprietor

Dr. Benjamin J Bauer, MD

Family Medicine in Pawtucket, Rhode Island

NPI Number1629399951
Practice location
111 Brewster St, Fcc A, Pawtucket, RI 02860-4474
Fax
401-729-2541
Last updated
June 22, 2010

Benjamin Jared Bauer is a Family Medicine based in Pawtucket, RI. Benjamin Jared Bauer practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Benjamin Jared Bauer is 1629399951 and holds a License No. LP01903 (RI). The current practice location address for Benjamin Jared Bauer is 111 Brewster St, Fcc A, Pawtucket, RI 02860-4474 and can be reached out via phone at 401-729-3469 and via fax at 401-729-2541.

Provider Profile Details

NPI Number
1629399951
Provider Name
Benjamin Jared Bauer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Brewster St, Fcc A, Pawtucket, RI 02860-4474
Phone Number
401-729-3469
Fax Number
401-729-2541
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2010
Last Update Date
June 22, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Brewster St
Fcc A
Pawtucket, RI 02860-4474
Zip
02860-4474
Phone Number
401-729-3469
Fax Number
401-729-2541
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
111 Brewster St
Fcc A
Pawtucket, RI 02860-4474
City
Pawtucket
State
RI
Zip
02860-4474
Phone Number
401-729-3469
Fax Number
401-729-2541

License Information

License Number
LP01903
License State
RI
Taxonomy
Family Medicine · 207Q00000X · 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. Benjamin J Bauer, MD?

The NPI number of Dr. Benjamin J Bauer, MD is 1629399951. It was assigned on June 22, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Benjamin J Bauer, MD?

Dr. Benjamin J Bauer, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP01903.

Where does Dr. Benjamin J Bauer, MD practice?

The practice location is 111 Brewster St, Fcc A, Pawtucket, RI 02860-4474. The office can be reached at 401-729-3469 (phone) or 401-729-2541 (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 1629399951 directly on the NPPES registry website.

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