Provider Demographics
NPI:1518957935
Name:SHAPIRO, GILBERT L (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:L
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:84 GRAPE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2143
Practice Address - Country:US
Practice Address - Phone:508-992-4024
Practice Address - Fax:508-997-3940
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25797207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9727027Medicaid
MA22514OtherBOSTON HEALTH NET PLAN
MA4145-0OtherRHODE ISLAND BLUE SHIELD
MA714246OtherTUFTS HEALTH PLAN
MA0901011OtherUNITED HEALTH CARE
MAM12882OtherMA BLUE CROSS BLUE SHIELD
MAB20394401OtherCIGNA HEALTHCARE
MA17010OtherHARVARD PILGRIM HEALTH CA
MATRICAREOther088-51-N-GI FK
MA0005462OtherNEIGHBORHOOD HEALTH PLAN
MAK1120201OtherMEDICARE ID-TYPE UNSPECIFIED
MA714246OtherTUFTS HEALTH PLAN