Active NPIOrganization

Bespoke Primary Care, PLLC

Family Medicine in Wellesley, Massachusetts

NPI Number1396617114
Practice location
60 Walnut St Bsmt, Wellesley, MA 02481-2151
Fax
—
Last updated
September 22, 2025

Bespoke Primary Care, PLLC is a healthcare organization based in Wellesley, MA. Bespoke Primary Care, PLLC practices in Wellesley, MA. The NPI Number for Bespoke Primary Care, PLLC is 1396617114. The current practice location address for Bespoke Primary Care, PLLC is 60 Walnut St Bsmt, Wellesley, MA 02481-2151 and can be reached out via phone at 617-531-9503.

Provider Profile Details

NPI Number
1396617114
Provider Name
Bespoke Primary Care, PLLC
Provider Entity Type
Organization
Address
60 Walnut St Bsmt, Wellesley, MA 02481-2151
Phone Number
617-531-9503
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Michael Richardson, MD · Medical Director · 617-531-9503
Provider Enumeration Date
September 22, 2025
Last Update Date
September 22, 2025
Certification Date
September 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Walnut St Bsmt
Wellesley, MA 02481-2151
Zip
02481-2151
Phone Number
617-531-9503
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
60 Walnut St Bsmt
Wellesley, MA 02481-2151
City
Wellesley
State
MA
Zip
02481-2151
Phone Number
617-531-9503

License Information

Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bespoke Primary Care, PLLC?

The NPI number of Bespoke Primary Care, PLLC is 1396617114. It was assigned on September 22, 2025 and is currently active in the NPPES registry.

What is the specialty of Bespoke Primary Care, PLLC?

Bespoke Primary Care, PLLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Bespoke Primary Care, PLLC practice?

The practice location is 60 Walnut St Bsmt, Wellesley, MA 02481-2151. The office can be reached at 617-531-9503 (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 1396617114 directly on the NPPES registry website.

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