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BD & L PROVIDER LLC
NPI 1629209234
Dermatology in Boston, MA

Active since July 30, 2009
30 LANCASTER STREET, SUITE 400, BOSTON, MA 02114(617) 722-4100(617) 227-1134 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bd & L Provider Llc NPPES

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

BD & L PROVIDER LLC (NPI 1629209234) is a healthcare organization registered as a dermatology in Boston, Massachusetts and active in the NPI registry since July 2009. The organization lists Samuel Goos, Owner, as its authorized official.

NPPES Registry Identity

NPI1629209234
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBD & L PROVIDER LLC
Location Address30 LANCASTER STREET, SUITE 400Boston, MA 02114
Mailing Address30 Lancaster Street, Suite 400Boston, MA 02114 · (617) 722-4100 · Fax (617) 227-1134
Phone(617) 722-4100
Fax(617) 227-1134
Organization SubpartNo
Authorized OfficialSamuel GoosOwner · (978) 370-7010
Enumeration DateJuly 30, 2009
Last NPPES UpdateJune 21, 2019
✔ NPI 1629209234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
30 LANCASTER STREET, Boston, MA 02114
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bd & L Provider Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bd & L Provider LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Gary Mendese, MD
Dermatology
NPI 1780851386
99 CONIFER HILL DR
Danvers, MA 01923
(978) 774-2555
✔ PECOS16 mi
Amanda Auerbach, M.D.
Dermatology
NPI 1558592261
281 LINCOLN ST
Worcester, MA 01605
(508) 334-5962
✔ PECOS✔ Accepts Medicare38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bd & L Provider LLC's NPI number?

The NPI number for Bd & L Provider LLC is 1629209234. It was assigned to this organization in the NPPES registry on July 30, 2009.

Where is Bd & L Provider LLC located?

Bd & L Provider LLC is located at 30 Lancaster Street Suite 400, Boston, MA 02114. The listed phone number is (617) 722-4100.

What is Bd & L Provider LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Bd & L Provider LLC enrolled in Medicare?

Yes. Bd & L Provider LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bd & L Provider LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Bd & L Provider LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bd & L Provider LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bd & L Provider LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bd & L Provider LLC was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.