Active NPIIndividual provider

Jenna Bahadir, MD

Surgery in Brockton, Massachusetts

NPI Number1780048322
Practice location
235 N Pearl St, Brockton, MA 02301-1794
Fax
—
Last updated
September 19, 2023

Jenna Bahadir is a Surgery based in Brockton, MA. Jenna Bahadir practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Jenna Bahadir is 1780048322 and holds a License No. 24555 (NH). The current practice location address for Jenna Bahadir is 235 N Pearl St, Brockton, MA 02301-1794 and can be reached out via phone at 508-427-3000.

Provider Profile Details

NPI Number
1780048322
Provider Name
Jenna Bahadir
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
235 N Pearl St, Brockton, MA 02301-1794
Phone Number
508-427-3000
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2016
Last Update Date
September 19, 2023
Certification Date
September 19, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 N Pearl St
Brockton, MA 02301-1794
Zip
02301-1794
Phone Number
508-427-3000
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
350 W Thomas RD
Phoenix, AZ 85013-4409
City
Phoenix
State
AZ
Zip
85013-4409
Phone Number
602-406-4440

License Information

License Number (1)
24555
License State (1)
NH
Taxonomy (1)
Surgery · 208600000X
License Number (2)
291813
License State (2)
MA
Taxonomy (2)
Surgery · 208600000X · 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 Jenna Bahadir, MD?

The NPI number of Jenna Bahadir, MD is 1780048322. It was assigned on April 10, 2016 and is currently active in the NPPES registry.

What is the specialty of Jenna Bahadir, MD?

Jenna Bahadir, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NH under license number 24555.

Where does Jenna Bahadir, MD practice?

The practice location is 235 N Pearl St, Brockton, MA 02301-1794. The office can be reached at 508-427-3000 (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 1780048322 directly on the NPPES registry website.

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