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

Trent Walradt

Individual provider Gastroenterology Physician · NPI 1710545785

Trent Walradt is a Gastroenterology in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
7
Licensed in
MA, NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-6389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St, Boston, MA 02114-2621 — (617) 726-2426

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 345887 (NY)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 1020803 (MA)

Record details

NPI number1710545785
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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