# DR. JAMES H BALCOM IV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689633273
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 202600 | MA | — |
| 2086S0102X | Surgical Critical Care Physician | 202600 | MA | — |
| 2086S0120X | Pediatric Surgery Physician | 202600 | MA | — |
| 2086S0127X | Trauma Surgery Physician | 202600 | MA | — |
| 2086S0129X | Vascular Surgery Physician | 202600 | MA | Yes |
| 2086X0206X | Surgical Oncology Physician | 202600 | MA | — |
| 208C00000X | Colon & Rectal Surgery Physician | 202600 | MA | — |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 05/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 042530297 | COMMERICAL | MA |
| 05 | — | 2003180 | — | MA |
| 01 | — | 760811 | TUFTS | MA |
| 01 | — | BAJ25866 | BLUE CROSS BLUE SHIELD | MA |