Agnes Bacopulos, MD
Psychiatry & Neurology, Neurology in Worcester, Massachusetts
1982231304- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-793-6555
- Fax
- 774-442-9122
- Last updated
- August 11, 2025
Agnes Bacopulos is a Psychiatry & Neurology, Neurology based in Worcester, MA. Agnes Bacopulos practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Agnes Bacopulos is 1982231304 and holds a License No. 1020236 (MA). The current practice location address for Agnes Bacopulos is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-793-6555 and via fax at 774-442-9122.
Provider Profile Details
- NPI Number
- 1982231304
- Provider Name
- Agnes Bacopulos
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-793-6555
- Fax Number
- 774-442-9122
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 25, 2020
- Last Update Date
- August 11, 2025
- Certification Date
- August 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-793-6555
- Fax Number
- 774-442-9122
Provider Business Mailing Address Details
- Address
- 281 Lincoln St
Worcester, MA 01605-2138 - City
- Worcester
- State
- MA
- Zip
- 01605-2138
- Phone Number
- 774-366-9653
License Information
- License Number
- 1020236
- License State
- MA
- Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Agnes Bacopulos, MD?
The NPI number of Agnes Bacopulos, MD is 1982231304. It was assigned on March 25, 2020 and is currently active in the NPPES registry.
What is the specialty of Agnes Bacopulos, MD?
Agnes Bacopulos, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in MA under license number 1020236.
Where does Agnes Bacopulos, MD practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-793-6555 (phone) or 774-442-9122 (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 1982231304 directly on the NPPES registry website.