DR. BRUCE BECKER (NPI# 1255312104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255312104 |
| Entity Type | Individual |
| Full Name | DR. BRUCE BECKER |
| Credential | MD |
| Practice Address |
20 Hope Ave Ste G10 Waltham MA 02453-2721 |
| Practice Telephone | 7816476920 |
| Practice Fax Number | 7818910056 |
| Mailing Telephone | 7816476920 |
| Mailing Fax Number | 7818910056 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2010-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
42049 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0139068 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104168400 | Bruce Harlan Becker | Ophthalmology | 5365 N Powers Ferry Rd Nw, Atlanta, GA 30327-4627 | 2013-03-25 |
| 1770745374 | Bruce Farrell Becker | Dentist | 556 N Oak Road, Light House Dental, Plymouth, IN 46563-1664 | 2008-06-26 |
| 1174623672 | Bruce David Becker | Chiropractor | 11862 Sunrise Valley Dr, Suite 101, Reston, VA 20191-3302 | 2006-09-24 |
| 1033113808 | Bruce Carl Becker II | Family Medicine | 500 W 4th St, Odessa, TX 79761-5001 | 2005-06-09 |
| 1811168545 | Bruce Robert Becker | Social Worker | 16 Pompton Ave, Pompton Lakes, NJ 07442-1895 | 2008-03-20 |
| 1720195340 | Bruce A Becker | Nurse Practitioner | 550 University Blvd, Indianapolis, IN 46202-5149 | 2006-08-23 |
| 1891719712 | Bruce M Becker | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2006-07-26 |
| 1346282589 | Bruce Becker | Physical Medicine & Rehabilitation | 105 W 8th Ave, Spokane, WA 99204-2302 | 2006-06-12 |
| 1376584433 | Bruce B Becker | Specialist | 5363 Balboa Blvd, Suite 246, Encino, CA 91316-2805 | 2006-06-09 |
| 1326037227 | Bruce A Becker | Internal Medicine | 200 Madison Ave, Suite 2c, Elmira, NY 14901-3218 | 2005-10-14 |
| Street Address |
20 HOPE AVE STE G10 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697050 | Solomon A Gabbay | Internal Medicine | 20 Hope Ave, Ste 206, Waltham, MA 02453-2717 | 2005-05-23 |
| 1922422385 | Brianna Bach | Counselor | 20 Hope Ave, Waltham, MA 02453-2721 | 2014-02-05 |
| 1538409727 | Gigi N. Girgis, M.d. | Specialist | 20 Hope Ave, Suite 203, Waltham, MA 02453-2721 | 2013-02-25 |
| 1649515131 | Putnoi Eye Care, P.C. | Ophthalmology | 20 Hope Ave, Suite 212, Waltham, MA 02453-2721 | 2012-12-10 |
| 1538455175 | Nadarron Amritanand-fort | Nurse Practitioner | 20 Hope Ave, Waltham, MA 02453-2721 | 2011-06-22 |
| 1114217171 | Marybeth Ann Mills | Spec/Tech, Cardiovascular | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2011-04-12 |
| 1033409057 | First Response Clinical Services, LLC | Clinic/Center | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2011-04-11 |
| 1629370622 | Watch City Optical | Eyewear Supplier (Equipment, not the service) | 20 Hope Ave, Waltham, MA 02453-2721 | 2010-11-23 |
| 1568605426 | Michelle Marie Cournoyer | Physician Assistant | 20 Hope Ave, Suite G06, Waltham, MA 02453-2721 | 2009-04-08 |
| 1205008141 | Wissam Khoory, Md,pc | Internal Medicine | 20 Hope Ave, Suite G03, Waltham, MA 02453-2721 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699723197 | Steven Keith Burke | Internal Medicine | 153 2nd Ave, Genzyme, Waltham, MA 02451-1122 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366849 | Halpert Medical LLC | Internal Medicine | 27 Pier 7, Boston, MA 02129-4226 | 2019-10-03 |
| 1962973131 | Dha Pho-w LLC | Internal Medicine | 91 Montvale Ave #206, Stoneham, MA 02180-3649 | 2018-12-16 |
| 1952825671 | Clifford D Gluck Md Pllc | Internal Medicine | 72 Sharp St Ste A10, Hingham, MA 02043-4362 | 2017-08-03 |
| 1861913881 | Aymeric Becq | Internal Medicine | 330 Brookline Avenue, Dana 603, Boston, MA 02215 | 2017-06-29 |
| 1386019503 | Boston Food Allergy Center LLC | Internal Medicine | 65 Harrison Ave Ste 201, Boston, MA 02111-1924 | 2015-12-14 |
| 1578901088 | Connie Yingyi Huang | Internal Medicine | 55 Highland Ave Ste 101, Salem, MA 01970-2100 | 2013-06-06 |
| 1477996650 | William Thomas Clarke | Internal Medicine | 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 | 2013-04-08 |
| 1487908141 | Jose Manuel Mella | Internal Medicine | 330 Brookline Ave Da 501, East Campus, Beth Israel Deaconess Medical Center, Boston, MA 02215-5403 | 2012-11-02 |
| 1003169327 | Rong J Guan, Md LLC | Internal Medicine | 30 Kneeland St Fl 5, Boston, MA 02111-1528 | 2012-10-24 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
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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.