MEDICARE: DR. NOEL BLAGG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	39360	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110212119	OTHER	MA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	043531502	OTHER	MA	GIC INDEMNITY
3	043531502	OTHER	MA	HMC PPO
4	10655	OTHER	MA	HEALTH NEW ENGLAND
5	113335	OTHER	MA	MVP
6	039360	OTHER	MA	TUFTS
7	D82852	OTHER	MA	HARVARD
8	000000020926	OTHER	MA	HEALTHNET
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	10034412	OTHER	MA	CAPITAL PHYSICIANS HEALTH
11	043531502	OTHER	MA	CIGNA INDEMNITY
12	3871967	OTHER	MI	CIGNA/HEALTHSOURCE HMO
13	I22278	OTHER	MA	BCBS

General Provider Information

NPI Number	:	1952394355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOEL BLAGG M.D.

Provider Business Mailing Address
First Line	:	777 NORTH ST
Second Line	:	SUITE 207
City	:	PITTSFIELD
State	:	MA
Zip	:	01201-4147
Country	:	US
Telephone Number	:	413-499-8510
Fax Number	:	413-499-8553

Provider Business Practice Location Address
First Line	:	777 NORTH ST
Second Line	:	SUITE 207
City	:	PITTSFIELD
State	:	MA
Zip	:	01201-4147
Country	:	US
Telephone Number	:	413-499-8510
Fax Number	:	413-499-8553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	02/04/2010

Similar Medicare Providers

1366478646 — LASZLO BELA TAMAS M.D.
Practice Location Address:

777 NORTH ST , BFS NEUROSURGERY AT BHS
PITTSFIELD, MA
01201-4147

Practice Phone: 413-447-2870
Practice Fax: 413-447-2871

1164427183 — DR. MYLAPPAN SELVARAJ M.D.
Practice Location Address:

777 NORTH ST
PITTSFIELD, MA
01201-4147

Practice Phone: 724-545-9774
Practice Fax: 724-543-2945

1245236447 — WILFRED I. CARNEY JR. MD
Practice Location Address:

777 NORTH ST , SUITE 407
PITTSFIELD, MA
01201-4147

Practice Phone: 413-445-6420
Practice Fax: 413-499-4907

1669478657 — MARCELLA W BRADWAY M.D.
Practice Location Address:

777 NORTH ST , SUITE 605
PITTSFIELD, MA
01201-4147

Practice Phone: 413-447-2745
Practice Fax: 413-346-6703

1669470456 — DR. HARRY HARTFORD M.D.
Practice Location Address:

777 NORTH ST , 207
PITTSFIELD, MA
01201-4147

Practice Phone: 413-499-8510
Practice Fax: 413-499-8553

1750383170 — DR. JEFFREY L ST JOHN M.D.
Practice Location Address:

777 NORTH ST , SUITE 203
PITTSFIELD, MA
01201-4147

Practice Phone: 413-499-8590
Practice Fax: 413-499-6410

Directions to “ DR. NOEL BLAGG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.