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

Marc Drake, MD

Individual provider Otolaryngology Physician · NPI 1063040079

Marc Drake, MD is an Otolaryngology in Boston, Massachusetts. Graduated from Medical College of Wisconsin in 2020, 6 years ago. Practices with Bumc Otolaryngologic Foundation Inc, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Trained at
Medical College of Wisconsin
Licensed in
MA
In the registry since
2020
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

830 Harrison Ave Ste 1400
Boston, MA 02118-2905
Phone: (617) 638-8124
Fax: (617) 414-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-3666

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 1021606 (MA)

Record details

NPI number1063040079
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2020 (6 years in practice)
Group practice Bumc Otolaryngologic Foundation Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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