Mark R Bauer, M.D.
Internal Medicine in Watertown, MA. Individual provider (NPI-1).
NPI number1487625307
StatusActive
Last updated in NPPESJun 27, 2011
Details
- NPI
- 1487625307
- Entity type
- Individual (NPI-1)
- Name
- Mark R Bauer
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2006
- Last updated
- Jun 27, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 42997 | MA | Yes |
Practice location
485 Arsenal StInternal Medicine
Watertown, MA 02472-5091
Phone 617-972-5200 · Fax 617-972-5512
Mailing address
147 Milk StProvider Enrollment - 9th Floor
Boston, MA 02109-4806
Phone 617-559-8374
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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