Dr. Kevin R Gendreau, MD
Family Medicine, Bariatric Medicine in Brockton, Massachusetts
1023422607- Practice location
- 110 Liberty St, Brockton, MA 02301-5674
- Phone
- 508-894-0400
- Fax
- 508-565-0097
- Last updated
- March 10, 2022
Kevin Raymond Gendreau is a Family Medicine, Bariatric Medicine based in Brockton, MA. Kevin Raymond Gendreau practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Kevin Raymond Gendreau is 1023422607 and holds a License No. MD17833 (RI). The current practice location address for Kevin Raymond Gendreau is 110 Liberty St, Brockton, MA 02301-5674 and can be reached out via phone at 508-894-0400 and via fax at 508-565-0097.
Provider Profile Details
- NPI Number
- 1023422607
- Provider Name
- Kevin Raymond Gendreau
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 110 Liberty St, Brockton, MA 02301-5674
- Phone Number
- 508-894-0400
- Fax Number
- 508-565-0097
- Primary Taxonomy
- Family Medicine, Bariatric Medicine · 207QB0002X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 11, 2014
- Last Update Date
- March 10, 2022
- Certification Date
- March 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Liberty St
Brockton, MA 02301-5674 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-5674
- Phone Number
- 508-894-0400
- Fax Number
- 508-565-0097
Provider Business Mailing Address Details
- Address
- 110 Liberty St Ste 180
Brockton, MA 02301-5674 - City
- Brockton
- State
- MA
- Zip
- 02301-5674
- Phone Number
- 508-894-0766
- Fax Number
- 508-565-0097
License Information
- License Number (1)
- MD17833
- License State (1)
- RI
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 270162
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 270162
- License State (3)
- MA
- Taxonomy (3)
- Family Medicine, Bariatric Medicine · 207QB0002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine, Bariatric Medicine providers near Brockton, MA
View all Family Medicine, Bariatric Medicine providers in Brockton →- Viva Care Living INCIn Home Supportive Care · NPI 1407756521
- Dr. Oyere K Onuma, MDInternal Medicine, Cardiovascular Disease · NPI 1760687339
- New England Sound LLCHearing Aid Equipment · NPI 1164869889
- Kaitlin M BakoSocial Worker, Clinical · NPI 1619646494
- Laura A WhiteNurse Practitioner, Family · NPI 1316555741
- Savannah GomesDoula · NPI 1093615445
Frequently Asked Questions
What is the NPI number of Dr. Kevin R Gendreau, MD?
The NPI number of Dr. Kevin R Gendreau, MD is 1023422607. It was assigned on June 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Kevin R Gendreau, MD?
Dr. Kevin R Gendreau, MD is registered under the primary taxonomy Family Medicine, Bariatric Medicine (code 207QB0002X), licensed in RI under license number MD17833.
Where does Dr. Kevin R Gendreau, MD practice?
The practice location is 110 Liberty St, Brockton, MA 02301-5674. The office can be reached at 508-894-0400 (phone) or 508-565-0097 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023422607 directly on the NPPES registry website.