Active NPI
Paul R Coutu, MD
- Internal Medicine Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42565
- Practice address
- 1 Pearl St
Suite 1400
Brockton, MA 02301-2864 - Phone
- (508) 897-6200
- Fax
- (508) 897-6321
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42565 | MA | Primary |
Addresses
Primary practice location
1 Pearl St
Suite 1400
Brockton, MA 02301-2864
Mailing address
1 Pearl St
Suite 1400
Brockton, MA 02301-2864
Phone (508) 897-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42565 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Past | Accepting new patients | |
| Bridgewater Pediatrics LLC | Past | Accepting new patients | |
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Middlesex Recovery Professional Corporation | Past | Accepting new patients |
Locations
11 Nevins St
Ste 401
Brighton, MA 02135
Phone (617) 682-7788
11 Nevins St
Ste 306
Brighton, MA 02135
Phone (617) 789-2045
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
1 Pearl St
Ste 1400
Brockton, MA 02301
Phone (508) 897-6030
104 Liberty St
Hanson, MA 02341
Phone (617) 293-5454
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
907 Sumner St
Ste 202
Stoughton, MA 02072
Phone (781) 297-8020
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.
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Pediatrics Physician
- Bridgewater, MA
- NPI 1255579975
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Addiction Medicine (Family Medicine) Physician
- Woburn, MA
- NPI 1487971461
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1114911757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PEARL ST",
"address_2": "SUITE 1400",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012864",
"telephone_number": "508-897-6200",
"fax_number": "508-897-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PEARL ST",
"address_2": "SUITE 1400",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012864",
"telephone_number": "508-897-6200",
"fax_number": "508-897-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUTU",
"first_name": "PAUL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "42565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.