Revere Medical Of Massachusetts, PC
Internal Medicine in Brockton, Massachusetts
1336976539- Practice location
- 1 Pearl St Ste 2100, Brockton, MA 02301-2868
- Phone
- 508-897-6040
- Fax
- —
- Last updated
- June 14, 2025
Revere Medical Of Massachusetts, PC is a healthcare organization based in Brockton, MA. Revere Medical Of Massachusetts, PC practices in Brockton, MA. The NPI Number for Revere Medical Of Massachusetts, PC is 1336976539. The current practice location address for Revere Medical Of Massachusetts, PC is 1 Pearl St Ste 2100, Brockton, MA 02301-2868 and can be reached out via phone at 508-897-6040.
Provider Profile Details
- NPI Number
- 1336976539
- Provider Name
- Revere Medical Of Massachusetts, PC
- Provider Entity Type
- Organization
- Address
- 1 Pearl St Ste 2100, Brockton, MA 02301-2868
- Phone Number
- 508-897-6040
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Jane Holden · Billing Manager · 615-672-7122
- Provider Enumeration Date
- September 19, 2024
- Last Update Date
- June 14, 2025
- Certification Date
- May 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Pearl St Ste 2100
Brockton, MA 02301-2868 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-2868
- Phone Number
- 508-897-6040
Provider Business Mailing Address Details
- Address
- 40 Burton Hills Blvd Ste 370
Nashville, TN 37215-6287 - City
- Nashville
- State
- TN
- Zip
- 37215-6287
- Phone Number
- 615-672-7122
- Fax Number
- 615-672-7849
License Information
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Brockton, MA
View all Internal Medicine providers in Brockton →- Darma MarcelinInternal Medicine · NPI 1144727322
- Dr. Aderinola Ojengbede, MDInternal Medicine · NPI 1730218785
- Dr. Ashwin Swami, MDInternal Medicine · NPI 1588679005
- Gvantsa Didebulidze, MDInternal Medicine · NPI 1730474644
- Mr. Paul J Spiegel, MDInternal Medicine · NPI 1265414577
- Ms. Lindsay J Kaplan, FNP-BCInternal Medicine · NPI 1073166393
Frequently Asked Questions
What is the NPI number of Revere Medical Of Massachusetts, PC?
The NPI number of Revere Medical Of Massachusetts, PC is 1336976539. It was assigned on September 19, 2024 and is currently active in the NPPES registry.
What is the specialty of Revere Medical Of Massachusetts, PC?
Revere Medical Of Massachusetts, PC is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Revere Medical Of Massachusetts, PC practice?
The practice location is 1 Pearl St Ste 2100, Brockton, MA 02301-2868. The office can be reached at 508-897-6040 (phone).
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 1336976539 directly on the NPPES registry website.