MEDICARE: DR. BENJAMIN GOODMAN SHAPIRO 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	207Q00000X	Family Medicine Physician	1020134	MA
2	207Q00000X	Family Medicine Physician	320189	NY
3	208M00000X	Hospitalist Physician	1020134	MA
4	208M00000X	Hospitalist Physician	320189	NY

General Provider Information

NPI Number	:	1235753526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN GOODMAN SHAPIRO DO

Provider Business Mailing Address
First Line	:	280 CHESTNUT STREET
Second Line	:	2ND FLOOR
City	:	SPRINGFIELD
State	:	MA
Zip	:	01199-1001
Country	:	US
Telephone Number	:	413-794-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	759 CHESTNUT ST STE C3350
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1619
Country	:	US
Telephone Number	:	413-794-4320
Fax Number	:	413-794-1767

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

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	04/06/2026

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