DAVID S TITELBAUM M.D. NPI 1225035264

NPI Information

NPI: 1225035264
Provider Name: DAVID S TITELBAUM, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
265 WESTGATE DR
BROCKTON, MA
ZIP 02301
Phone: (800) 258-4674
Get Directions

David S Titelbaum, M.D. is a diagnostic radiology radiology in Brockton, MA with 41 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. David S Titelbaum, M.D. NPI is 1225035264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

265 WESTGATE DR
BROCKTON, MA
ZIP 02301-817
Phone: (800) 258-4674
Fax: (508) 897-3198

The NPI 1225035264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2005 and was last updated on 12/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	54043	MASSACHUSETTS	No
2	2085R0202X	Radiology	Diagnostic Radiology	54043	MASSACHUSETTS	Yes
3	2085R0202X	Radiology	Diagnostic Radiology	3585828	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3045951	MEDICAID	MASSACHUSETTS
2	J08231	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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