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

Joseph Meyer Ebersole, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104385020

Joseph Meyer Ebersole, MD is an Emergency Medicine in Boston, Massachusetts. Graduated from Vanderbilt University School of Medicine in 2019, 7 years ago. Practices with Emory Medical Care Foundation Inc, a 996-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Trained at
Vanderbilt University School of Medicine
Licensed in
GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (418) 461-7724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 94588 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104385020
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Emory Medical Care Foundation Inc — 996 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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