Provider Demographics
NPI:1952835225
Name:BP PARTNERS, LLC
Entity Type:Organization
Organization Name:BP PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-922-0288
Mailing Address - Street 1:900 CUMMINGS CTR
Mailing Address - Street 2:SUITE 309V
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6198
Mailing Address - Country:US
Mailing Address - Phone:978-922-0288
Mailing Address - Fax:978-927-6265
Practice Address - Street 1:900 CUMMINGS CTR
Practice Address - Street 2:SUITE 309V
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6198
Practice Address - Country:US
Practice Address - Phone:978-922-0288
Practice Address - Fax:978-927-6265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEVERLY PODIATRY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty