Active NPIIndividual providerSole proprietor

Dr. Andrew B Crocker, MD

Surgery in Brighton, Massachusetts

NPI Number1811513815
Practice location
736 Cambridge St, Brighton, MA 02135-2907
Fax
—
Last updated
August 5, 2020

Andrew B Crocker is a Surgery based in Brighton, MA. Andrew B Crocker practices in Brighton, MA and has the professional credentials of MD. The NPI Number for Andrew B Crocker is 1811513815 and holds a License No. 584848 (MA). The current practice location address for Andrew B Crocker is 736 Cambridge St, Brighton, MA 02135-2907 and can be reached out via phone at 617-789-2990.

Provider Profile Details

NPI Number
1811513815
Provider Name
Andrew B Crocker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
736 Cambridge St, Brighton, MA 02135-2907
Phone Number
617-789-2990
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2020
Last Update Date
August 5, 2020
Certification Date
August 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
736 Cambridge St
Brighton, MA 02135-2907
Zip
02135-2907
Phone Number
617-789-2990
Brighton, MA 02135Get directions →

Provider Business Mailing Address Details

Address
736 Cambridge St
Brighton, MA 02135-2907
City
Brighton
State
MA
Zip
02135-2907
Phone Number
617-789-2990

License Information

License Number (1)
584848
License State (1)
MA
Taxonomy (1)
Surgery · 208600000X · 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 Dr. Andrew B Crocker, MD?

The NPI number of Dr. Andrew B Crocker, MD is 1811513815. It was assigned on June 25, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrew B Crocker, MD?

Dr. Andrew B Crocker, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 584848.

Where does Dr. Andrew B Crocker, MD practice?

The practice location is 736 Cambridge St, Brighton, MA 02135-2907. The office can be reached at 617-789-2990 (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 1811513815 directly on the NPPES registry website.

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