ALAN BULOTSKY, MD & ASSOCIATES, PC (NPI# 1134171671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134171671 |
| Entity Type | Organization |
| Organization Name | ALAN BULOTSKY, MD & ASSOCIATES, PC |
| Practice Address |
201 Quincy St Brockton MA 02302-2926 |
| Practice Telephone | 5085841890 |
| Practice Fax Number | 5085803332 |
| Mailing Telephone | 5085841890 |
| Mailing Fax Number | 5085803332 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | MARK A. HAUSMAN (PRESIDENT) |
| Authorized Official Telephone | 5085841890 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM HEALTH | 20125 | 01 |
| MA | TUFTS HEALTHCARE | 600703 | 01 |
| MA | 9769196 | 05 | |
| MA | BLUE CROSS & BLUE SHIELD | M15672 | 01 |
| Street Address |
201 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508086372 | Marjorie E Shirosky | Physician Assistant | 201 Quincy St, Brockton, MA 02302-2926 | 2007-04-26 |
| 1164475000 | Mark A Hausman | Pediatrics | 201 Quincy St, Brockton, MA 02302-2926 | 2006-05-19 |
| 1609828201 | Scott D Blanchard | Pediatrics | 201 Quincy St, Brockton, MA 02302-2926 | 2006-05-16 |
| 1083666218 | Alan B Bulotsky | Pediatrics | 201 Quincy St, Brockton, MA 02302-2926 | 2006-05-16 |
| 1346292588 | Moneesha Narula-isaac | Pediatrics | 201 Quincy St, Brockton, MA 02302-2926 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518436153 | Marybeth Adams-khoury | Pediatrics | 63 Main St Fl 3, Brockton, MA 02301-4042 | 2018-11-13 |
| 1518353820 | Thomas Devries | Pediatrics | 110 Liberty St Ste 1a, Brockton, MA 02301 | 2015-04-13 |
| 1871768291 | Kavita Gupta-shah | Pediatrics | 63 Maing Street, Brockton, MA 02301-4042 | 2008-04-26 |
| 1548374713 | Doris M. Kim | Pediatrics | 670 Centre Street, Brockton, MA 02302 | 2006-08-18 |
| 1023037454 | Sharon M Parnes | Pediatrics | 830 Oak St Ste 220e, Brockton, MA 02301-1191 | 2006-07-18 |
| 1790763324 | David Alvarez-morales | Pediatrics | 179 Quincy St, Brockton, MA 02302-2959 | 2006-01-04 |
| 1164412839 | Howard H Kay | Pediatrics | 65 Libby St, Brockton, MA 02302-2949 | 2005-10-25 |
| 1427042969 | Joseph W Dullea | Pediatrics | 340 Pleasant St, Brockton, MA 02301-3236 | 2005-09-09 |
| 1639178502 | David S. Chung | Pediatrics | 370 Oak St, Suite A, Brockton, MA 02301-1341 | 2005-07-21 |
| 1508351784 | Cedar Hill Pediatrics LLC | Pediatrics | 1324 Belmont St Ste 105, Brockton, MA 02301-4435 | 2018-06-28 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.