Provider Demographics
NPI:1356353874
Name:OAKLEY, BERNARD E (MD)
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:E
Last Name:OAKLEY
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 1:60 MESSENGER ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2258
Mailing Address - Country:US
Mailing Address - Phone:508-695-2020
Mailing Address - Fax:508-699-7298
Practice Address - Street 1:60 MESSENGER ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2258
Practice Address - Country:US
Practice Address - Phone:508-695-2020
Practice Address - Fax:508-699-7298
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56011207QA0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000028107OtherBMC HEALTHNET
0101148OtherUHC
MA3043291Medicaid
MAB10390601OtherCIGNA
MA43243OtherFALLON
MAJ10943OtherMABC
MA056011OtherTUFTS
MA710760OtherHPHC
400720OtherRI BLYE CHIP
MA710760OtherHPHC
MAJ10943Medicare ID - Type Unspecified