Provider Demographics
NPI:1467456152
Name:ALPER, DAVID BENJAMIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BENJAMIN
Last Name:ALPER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2751
Mailing Address - Country:US
Mailing Address - Phone:617-484-5000
Mailing Address - Fax:617-484-9945
Practice Address - Street 1:1 OAK AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2751
Practice Address - Country:US
Practice Address - Phone:617-484-5000
Practice Address - Fax:617-484-9945
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPD1812213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0361321Medicaid
MA0361321Medicaid
MAY70799Medicare PIN