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

Mason C. Bandy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275279168

Mason C. Bandy, MD is a Family Practice in Providence, Rhode Island. Qualified in 2022, 4 years ago. Practices with The Providence Community Health Centers Inc, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022
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

239 Cranston St
Providence, RI 02907-2406
Phone: (401) 444-0580
Fax: (401) 444-0428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Borthwick Ave, Portsmouth, NH 03801 — (603) 436-5110

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD20638 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275279168
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2022
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Providence Community Health Centers Inc. — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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