National Provider Identifier
Berthollet M Bavibidila, MD
Berthollet M Bavibidila, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 338-1400.
Profile Overview
- NPI
- 1609834415
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 02, 2006
- Last Updated
- August 19, 2022
Practice Location
- 1425 Portland Ave
- Wilson Bldg
- Rochester, NY 14621
Phone: (585) 338-1400
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Internal Medicine Physician (207R00000X)
Endpoints
- bbavibidila94715@direct.rochesterregional.org
Direct Messaging Address | Direct | Rochester, NY 14621
Full Record
- NPI
- 1609834415
- Entity Type
- Individual
- Last Name
- Bavibidila
- First Name
- Berthollet
- Middle Name
- M
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0553
- Practice Street Address
- 1425 Portland Ave
- Practice Address Line 2
- Wilson Bldg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 338-1400
- Enumeration Date
- May 02, 2006
- Last Updated
- August 19, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 00027212601 (NY, Univera), 11121577 (NY, Caqh), 110242022 (NY, Medicare Railroad), P010203530 (NY, Blue Choice), 00355266 (NY), 101660BJ (NY, Preferred Care), 1245 (NY, Sidney Hillman), 051006000001 (NY, Fidelis), 0414023 (NY, Iha)