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DR. MARK PROCTOR M.D.
NPI 1306910518
Specialist in Boston, MA

Active since November 20, 2006PECOS Enrolled
300 LONGWOOD AVE, DEPARTMENT OF NEUROSURGERY, BADER 3, BOSTON, MA 02115(617) 355-2403(617) 730-0906 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Proctor M.d. NPPES

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

DR. MARK PROCTOR M.D. (NPI 1306910518) is an individual specialist in Boston, Massachusetts and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306910518
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARK PROCTORCredential: M.D.
Location Address300 LONGWOOD AVE, DEPARTMENT OF NEUROSURGERY, BADER 3Boston, MA 02115-5724
Mailing Address300 Longwood Ave, Department Of Neurosurgery, Bader 3Boston, MA 02115-5724 · (617) 355-2403 · Fax (617) 730-0906
Phone(617) 355-2403
Fax(617) 730-0906
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306910518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 LONGWOOD AVE, Boston, MA 02115
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Other Identifiers 1

Medicare UPINH03923MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Proctor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Mark Proctor's NPI number?

The NPI number for Mark Proctor is 1306910518. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Mark Proctor located?

Mark Proctor practices at 300 Longwood Ave Department Of Neurosurgery, Bader 3, Boston, MA 02115. The listed phone number is (617) 355-2403.

What is Mark Proctor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Proctor enrolled in Medicare?

Yes. Mark Proctor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Proctor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.