ROBERT BANCO MD PC NPI 1700872413

NPI Information

  • NPI: 1700872413
  • Provider Name: ROBERT BANCO, MD PC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Address: 125 PARKER HILL AVE
    CONVERSE 4
    ROXBURY CROSSING, MA
    ZIP 02120
  • Phone: (617) 754-5630

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NPI Details

ROBERT BANCO, MD PC is an orthopaedic surgery of the spine orthopaedic surgery in Roxbury Crossing, MA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. ROBERT BANCO, MD PC NPI is 1700872413. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 PARKER HILL AVE
CONVERSE 4
ROXBURY CROSSING, MA
ZIP 02120-847
Phone: (617) 754-5630
Fax: (617) 754-5593

The provider's authorized official is Robert J Banco .
The authorized official title is President and has the following contact phone number (617) 754-5630.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 7/15/2008.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine59668MASSACHUSETTSYes

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
1M21618MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
2059668OTHERMASSACHUSETTSTUFTS
30006139OTHERMASSACHUSETTSNHP
417798OTHERMASSACHUSETTSHPHC
59724290MEDICAIDMASSACHUSETTS

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: 11/21/2025

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