Active NPIIndividual provider

Edward Bahng, MD

Family Medicine in Beverly, Massachusetts

NPI Number1790165546
Practice location
77 Herrick St Ste 101, Beverly, MA 01915-2734
Fax
—
Last updated
August 22, 2023

Edward Bahng is a Family Medicine based in Beverly, MA. Edward Bahng practices in Beverly, MA and has the professional credentials of MD. The NPI Number for Edward Bahng is 1790165546 and holds a License No. 0116027984 (VA). The current practice location address for Edward Bahng is 77 Herrick St Ste 101, Beverly, MA 01915-2734 and can be reached out via phone at 978-927-4110.

Provider Profile Details

NPI Number
1790165546
Provider Name
Edward Bahng
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
77 Herrick St Ste 101, Beverly, MA 01915-2734
Phone Number
978-927-4110
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 8, 2015
Last Update Date
August 22, 2023
Certification Date
August 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Herrick St Ste 101
Beverly, MA 01915-2734
Zip
01915-2734
Phone Number
978-927-4110
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
77 Herrick St Ste 101
Beverly, MA 01915-2734
City
Beverly
State
MA
Zip
01915-2734
Phone Number
978-927-4110

License Information

License Number (1)
0116027984
License State (1)
VA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
277197
License State (2)
MA
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near Beverly, MA

View all Family Medicine providers in Beverly →

Frequently Asked Questions

What is the NPI number of Edward Bahng, MD?

The NPI number of Edward Bahng, MD is 1790165546. It was assigned on June 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Edward Bahng, MD?

Edward Bahng, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VA under license number 0116027984.

Where does Edward Bahng, MD practice?

The practice location is 77 Herrick St Ste 101, Beverly, MA 01915-2734. The office can be reached at 978-927-4110 (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 1790165546 directly on the NPPES registry website.

Browse related providers