Individual provider Active NPI

Brett Joseph Teran, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Plymouth, MA
National Provider Identifier
1043536865
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
262968 Issued in MA
Practice address
41 Resnik Rd
Plymouth, MA 02360-4842
Phone
(781) 934-2400
Fax
(508) 746-3930
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 61907-21 WI
Physical Medicine & Rehabilitation Physician 208100000X 262968 MA Primary

Addresses

Primary practice location

41 Resnik Rd
Plymouth, MA 02360-4842

Mailing address

41 Resnik Rd
Plymouth, MA 02360-4842
Phone (781) 934-2400

Other practice location 1

95 Tremont St
Suite 1
Duxbury, MA 02332-4738
Phone (781) 934-2400

Other practice location 2

290 Route 130
Sandwich, MA 02563-2366
Phone (781) 934-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831001817 MA Practitioner - Physical Medicine and Rehabilitation 2567686389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

95 Tremont St
Suite 1
Duxbury, MA 02332-4738
Phone 78193424001204

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
61907-21WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Bay Orthopedic Associates Inc. CurrentSince Sep 1, 2015 Accepting new patients

Locations

95 Tremont St
Ste 1
Duxbury, MA 02332
Phone (781) 934-2400

700 Attucks Ln
Unit 1A
Hyannis, MA 02601
Phone (508) 771-0169

41 Resnik Rd
Plymouth, MA 02360
Phone (781) 934-2400

290 Route 130
Sandwich, MA 02563
Phone (508) 833-2255

Interoperability endpoints

  • Direct secure messaging: bteran255373@direct.bilh.masshiway.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1043536865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 RESNIK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604842",
            "telephone_number": "781-934-2400",
            "fax_number": "508-746-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 RESNIK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604842",
            "telephone_number": "781-934-2400",
            "fax_number": "508-746-3930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Tremont St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Duxbury",
            "state": "MA",
            "postal_code": "023324738",
            "country_code": "US",
            "telephone_number": "781-934-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Route 130",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "MA",
            "postal_code": "025632366",
            "country_code": "US",
            "telephone_number": "781-934-2400",
            "fax_number": "508-746-3930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERAN",
        "first_name": "BRETT",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "61907-21",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "262968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.