Provider Demographics
NPI:1316916471
Name:HEARD, ALEXANDER C (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:C
Last Name:HEARD
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:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:FORESTDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02644-0549
Mailing Address - Country:US
Mailing Address - Phone:508-477-5306
Mailing Address - Fax:508-477-0297
Practice Address - Street 1:55 ROUTE 130
Practice Address - Street 2:
Practice Address - City:FORESTDALE
Practice Address - State:MA
Practice Address - Zip Code:02644-1402
Practice Address - Country:US
Practice Address - Phone:508-477-5306
Practice Address - Fax:508-477-0297
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA157866208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000029531OtherBOSTON MEDICAL CHILDRENS
MA043541176OtherCOMMERCIAL INSURANCES
MI1201596OtherUNITED HEALTH CARE
MA3194167Medicaid
MA400813OtherUNIFORME FAMILY HEALTH PL
MA201951OtherHARVARD PILGRIM
MA195102OtherHEALTH SOURCE PLAN
MAB10405401OtherCIGNA
MA799167OtherTUFTS HEALTH PLAN
MAJ19809OtherBLUE CROSS BLUE SHIELD
MA400813OtherUNIFORME FAMILY HEALTH PL
MAG93740Medicare UPIN