MARK J. KULBASKI MD – NPI #1699756247
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
MARK KULBASKI is a surgeon located in BROCKTON, MA. NPPES has assigned the NPI number 1699756247 to MARK KULBASKI on November 10, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was last updated on Mar 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK KULBASKI below.
NPI Profile for
MARK J. KULBASKI
(more than 20 years ago)
SUITE 2000
BROCKTON, MA 02301 Phone: (508) 584-4104 Fax: (508) 584-4105
1 Other location(s):
Brockton, MA 02301-1191
Phone: (774) 480-1600
Fax: (774) 480-1625
FL 2
BOSTON, MA 02118-2690 Phone: Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MARK KULBASKI
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | MA | 110149524A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
MA | 78343 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
MARK KULBASKI is affiliated with the following medical group(s):
- HOSPITAL
- GOOD SAMARITAN MEDICAL CENTER235 NORTH PEARL STREET
BROCKTON, MA 02301
- GOOD SAMARITAN MEDICAL CENTER235 NORTH PEARL STREET
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