Individual provider Active NPI

Brett S Stecker, DO

  • Family Medicine Physician
  • Raynham, MA
National Provider Identifier
1114097599
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
215705 Issued in MA
Practice address
675 Paramount Dr
Ste 203
Raynham, MA 02767-5416
Phone
(508) 880-0012
Fax
(508) 880-0256
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 215705 MA Primary

Addresses

Primary practice location

675 Paramount Dr
Ste 203
Raynham, MA 02767-5416

Mailing address

675 Paramount Dr
Ste 203
Raynham, MA 02767-5416
Phone (508) 880-0012

Other identifiers 7

IdentifierTypeStateIssuer
318796OtherMAAETNA
713631OtherMAHARVARD PILGRIM
2097010MedicaidMA
J25682OtherMABCBS
215705OtherMATUFTS
3796020OtherMACIGNA
000000024762OtherMABMC

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
I20040802000632 MA Practitioner - Family Practice 5991776379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians
Steward Medical Group IncGroup PAC ID 2860688728, 23 clinicians

Practice addresses (Care Compare)

1 Washington St
800 Revere Medical Internal Medical Center
Taunton, MA 02780-3960
Phone (508) 821-2500

32 S Main St
Suite 100
Randolph, MA 02368-4835
Phone (781) 575-0330

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC Family Medicine CurrentSince Oct 30, 2024 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Jan 1, 2026 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2019 Accepting new patients
Raynham Medical Investors LLC Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

32 S Main St
Ste 100
Randolph, MA 02368
Phone (781) 575-0330

675 Paramount Dr
Ste 203
Raynham, MA 02767
Phone (508) 738-6740

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

1 Washington St
Ste 800
Taunton, MA 02780
Phone (508) 821-2500

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: brett.stecker.1@32866.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1114097599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR",
            "address_2": "STE 203",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675416",
            "telephone_number": "508-880-0012",
            "fax_number": "508-880-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR",
            "address_2": "STE 203",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675416",
            "telephone_number": "508-880-0012",
            "fax_number": "508-880-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKER",
        "first_name": "BRETT",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "215705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "318796",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "713631",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097010",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J25682",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "215705",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3796020",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "000000024762",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

Verify at the official NPI Registry.