Healthcare Provider Details

I. General information

NPI: 1205507670
Provider Name (Legal Business Name): NICHOLAS ANTHONY BESLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WASHINGTON ST
BOSTON MA
02111-1552
US

IV. Provider business mailing address

800 WASHINGTON ST
BOSTON MA
02111-1552
US

V. Phone/Fax

Practice location:
  • Phone: 303-818-9157
  • Fax: 617-636-7021
Mailing address:
  • Phone: 303-818-9157
  • Fax: 617-636-7021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number3020499
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: