Active NPIIndividual provider

Jonathan M Bisaillon, MD

Internal Medicine, Cardiovascular Disease in Upton, Massachusetts

NPI Number1629463963
Practice location
236 Milford St, Upton, MA 01568-1309
Fax
—
Last updated
July 6, 2026

Jonathan M. Bisaillon is an Internal Medicine, Cardiovascular Disease based in Upton, MA. Jonathan M. Bisaillon practices in Upton, MA and has the professional credentials of MD. The NPI Number for Jonathan M. Bisaillon is 1629463963 and holds a License No. 273355 (MA). The current practice location address for Jonathan M. Bisaillon is 236 Milford St, Upton, MA 01568-1309 and can be reached out via phone at 508-473-1015.

Provider Profile Details

NPI Number
1629463963
Provider Name
Jonathan M. Bisaillon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
236 Milford St, Upton, MA 01568-1309
Phone Number
508-473-1015
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2015
Last Update Date
July 6, 2026
Certification Date
July 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
236 Milford St
Upton, MA 01568-1309
City
Upton
Zip
01568-1309
Phone Number
508-473-1015
Upton, MA 01568Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885

License Information

License Number (1)
273355
License State (1)
MA
Taxonomy (1)
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
License Number (2)
273355
License State (2)
MA
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
273355
License State (3)
MA
Taxonomy (3)
Nuclear Medicine, Nuclear Cardiology · 207UN0901X

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 Jonathan M Bisaillon, MD?

The NPI number of Jonathan M Bisaillon, MD is 1629463963. It was assigned on April 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Jonathan M Bisaillon, MD?

Jonathan M Bisaillon, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in MA under license number 273355.

Where does Jonathan M Bisaillon, MD practice?

The practice location is 236 Milford St, Upton, MA 01568-1309. The office can be reached at 508-473-1015 (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 1629463963 directly on the NPPES registry website.

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