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BERNADETTE CHAN MD
NPI 1235129750
Obstetrics & Gynecology - Gynecology in Medford, MA

Active since October 26, 2005
170 GOVERNORS AVE, PROMPT CARE - LAWRENCE MEMORIAL HOSPITAL, MEDFORD, MA 02155(781) 306-6103(781) 306-6206 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bernadette Chan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNADETTE CHAN MD (NPI 1235129750) is an individual gynecology provider in Medford, Massachusetts, licensed in Massachusetts (60545) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1235129750
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameBERNADETTE CHANCredential: MD
Location Address170 GOVERNORS AVE, PROMPT CARE - LAWRENCE MEMORIAL HOSPITALMedford, MA 02155-1643
Mailing Address170 Governors Ave, Prompt Care - Lawrence Memorial HospitalMedford, MA 02155-1643 · (781) 306-6103 · Fax (781) 306-6206
Phone(781) 306-6103
Fax(781) 306-6206
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateApril 27, 2012
✔ NPI 1235129750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in MA · 60545
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
170 GOVERNORS AVE, Medford, MA 02155
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Other Identifiers 3

Medicaid1200992MA
Medicare UPINE56665
Medicare ID-Type UnspecifiedJ10019MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN DIANA KLEE NP
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER
MEDFORD, MA 02155
Middlesex County (781) 306-6370
MRS. KERRI ANNE DEWOLF
Social Worker (Clinical)
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6157
SHARON HALL RNCS
Clinical Nurse Specialist (Psychiatric/Mental Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Middlesex County (781) 306-6150
MICHELLE VIDAL LICSW
Social Worker (Clinical)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Middlesex County (781) 306-6008
ANDREA MESSINA N.P.
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6000
DR. JOSEPH M MURPHY JR. M.D.
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 391-4106
MRS. CAMILLE ROSE ROSSETTI P.T.A.
Physical Therapy Assistant
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 395-7750
EILEEN WEGENER MD
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernadette Chan's NPI number?

The NPI number for Bernadette Chan is 1235129750. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Bernadette Chan located?

Bernadette Chan practices at 170 Governors Ave Prompt Care - Lawrence Memorial Hospital, Medford, MA 02155. The listed phone number is (781) 306-6103.

What is Bernadette Chan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Bernadette Chan was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.