Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Bubencik

Individual provider Physician Assistant · NPI 1710832860

Heather Bubencik is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2026
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Practice location Address checks out

330 Brookline Ave
Boston, MA 02215-5400
Phone: (617) 667-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710832860
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address330 Brookline Ave, Boston, MA 02215-5400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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