Healthcare Provider Details

I. General information

NPI: 1275083057
Provider Name (Legal Business Name): BERNARD J. DURANTE, MD,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 PARK ST
HYANNIS MA
02601-5206
US

IV. Provider business mailing address

30 ALDRIN RD
PLYMOUTH MA
02360-4804
US

V. Phone/Fax

Practice location:
  • Phone: 508-746-8977
  • Fax: 508-747-9680
Mailing address:
  • Phone: 508-746-8977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173F00000X
TaxonomySleep Specialist (PhD)
License Number58069
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. MELISSA MARIE HIGBIE
Title or Position: MEDICAL BILLING MANAGER
Credential:
Phone: 508-746-8977