Organization Active NPI

First Class Primary Care PLLC

  • Family Medicine Physician
  • Canton, MA
National Provider Identifier
1104790815
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST CLASS PRIMARY CARE PLLC
Practice address
1017 Turnpike St Ste 33
Canton, MA 02021-2856
Phone
(781) 236-7343
NPI assigned
Oct 3, 2025
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Yveda Brutus, DNPNPI 1811532724
Title
Owner
Phone
(781) 236-7343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1017 Turnpike St Ste 33
Canton, MA 02021-2856

Mailing address

1017 Turnpike St Ste 33
Canton, MA 02021-2856
Phone (781) 236-7343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260420001032 MA Part B Supplier - Clinic/Group Practice 7911473715 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, MA

National Provider Directory

National Provider Directory

Locations

1017 Turnpike St
Ste 33
Canton, MA 02021
Phone (781) 236-7343

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1104790815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 33",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212856",
            "telephone_number": "781-236-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 33",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212856",
            "telephone_number": "781-236-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "YVEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-236-7343",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.