Thomas Devries
Pediatrics, Sports Medicine in Brockton, Massachusetts
1518353820- Practice location
- 110 Liberty St Ste 1A, Brockton, MA 02301
- Phone
- 508-565-0232
- Fax
- 508-894-0757
- Last updated
- November 23, 2020
Thomas Devries is a Pediatrics, Sports Medicine based in Brockton, MA. Thomas Devries practices in Brockton, MA. The NPI Number for Thomas Devries is 1518353820 and holds a License No. 5747 (WI). The current practice location address for Thomas Devries is 110 Liberty St Ste 1A, Brockton, MA 02301 and can be reached out via phone at 508-565-0232 and via fax at 508-894-0757.
Provider Profile Details
- NPI Number
- 1518353820
- Provider Name
- Thomas Devries
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 110 Liberty St Ste 1A, Brockton, MA 02301
- Phone Number
- 508-565-0232
- Fax Number
- 508-894-0757
- Primary Taxonomy
- Pediatrics, Sports Medicine · 2080S0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2015
- Last Update Date
- November 23, 2020
- Certification Date
- November 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Liberty St Ste 1A
Brockton, MA 02301 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301
- Phone Number
- 508-565-0232
- Fax Number
- 508-894-0757
Provider Business Mailing Address Details
- Address
- 110 Liberty St Ste 1A
Brockton, MA 02301-5674 - City
- Brockton
- State
- MA
- Zip
- 02301-5674
- Phone Number
- 508-565-0232
- Fax Number
- 508-894-0757
License Information
- License Number (1)
- 5747
- License State (1)
- WI
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 280645
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics · 208000000X
- License Number (3)
- 67371
- License State (3)
- WI
- Taxonomy (3)
- Pediatrics · 208000000X
- License Number (4)
- 280645
- License State (4)
- MA
- Taxonomy (4)
- Pediatrics, Sports Medicine · 2080S0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Thomas Devries?
The NPI number of Thomas Devries is 1518353820. It was assigned on April 13, 2015 and is currently active in the NPPES registry.
What is the specialty of Thomas Devries?
Thomas Devries is registered under the primary taxonomy Pediatrics, Sports Medicine (code 2080S0010X), licensed in WI under license number 5747.
Where does Thomas Devries practice?
The practice location is 110 Liberty St Ste 1A, Brockton, MA 02301. The office can be reached at 508-565-0232 (phone) or 508-894-0757 (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 1518353820 directly on the NPPES registry website.