Active NPIIndividual provider

James M Bevilacqua, MD

Radiology, Diagnostic Radiology in Brockton, Massachusetts

NPI Number1730132135
Practice location
680 Centre St, Radiology Department, Brockton, MA 02302-3308
Fax
508-941-6104
Last updated
October 2, 2012

James M Bevilacqua is a Radiology, Diagnostic Radiology based in Brockton, MA. James M Bevilacqua practices in Brockton, MA and has the professional credentials of MD. The NPI Number for James M Bevilacqua is 1730132135 and holds a License No. 044638 (MA). The current practice location address for James M Bevilacqua is 680 Centre St, Radiology Department, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7150 and via fax at 508-941-6104.

Provider Profile Details

NPI Number
1730132135
Provider Name
James M Bevilacqua
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
680 Centre St, Radiology Department, Brockton, MA 02302-3308
Phone Number
508-941-7150
Fax Number
508-941-6104
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
May 18, 2006
Last Update Date
October 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Centre St
Radiology Department
Brockton, MA 02302-3308
Zip
02302-3308
Phone Number
508-941-7150
Fax Number
508-941-6104
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
Po Box 461
Marshfield Hills, MA 02051-0461
City
Marshfield Hills
State
MA
Zip
02051-0461
Phone Number
508-941-7150
Fax Number
508-941-6104

License Information

License Number
044638
License State
MA
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · 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 James M Bevilacqua, MD?

The NPI number of James M Bevilacqua, MD is 1730132135. It was assigned on May 18, 2006 and is currently active in the NPPES registry.

What is the specialty of James M Bevilacqua, MD?

James M Bevilacqua, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 044638.

Where does James M Bevilacqua, MD practice?

The practice location is 680 Centre St, Radiology Department, Brockton, MA 02302-3308. The office can be reached at 508-941-7150 (phone) or 508-941-6104 (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 1730132135 directly on the NPPES registry website.

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