MEDICARE: DR. MARK ALBERT BIGDA DO

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	71687	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110074429	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110074429	OTHER		TRICARE
3	724707	OTHER		CONNECTICARE SELECT
4	000000008032	OTHER	MA	BOSTON MEDICAL HEALTH NET
5	10615	OTHER	MA	HEALTH NEW ENGLAND
6	732090	OTHER	MA	TUFTS
7	M18221	OTHER		BLUECROSS BLUESHIELD GRP
8	J09439	OTHER		BLUECROSS BLUESHIELD IND
9	21N80	OTHER	NY	EMPIRE BC BS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	10250601	OTHER		CIGNA
12	62810	OTHER	MA	HARVARD PILGRIM
13	2037537	OTHER		AETNA

General Provider Information

NPI Number	:	1043292089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALBERT BIGDA DO

Provider Business Mailing Address
First Line	:	179 NORTHAMPTON ST STE D
Second Line	:
City	:	EASTHAMPTON
State	:	MA
Zip	:	01027-1057
Country	:	US
Telephone Number	:	413-529-9282
Fax Number	:	413-527-7526

Provider Business Practice Location Address
First Line	:	179 NORTHAMPTON ST STE D
Second Line	:
City	:	EASTHAMPTON
State	:	MA
Zip	:	01027-1057
Country	:	US
Telephone Number	:	413-529-9282
Fax Number	:	413-527-7526

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	01/07/2025

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Directions to “ DR. MARK ALBERT BIGDA DO” Practice Location

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