NPIMap

Individual provider Active NPI

William Lyle Patterson Jr., DO

  • Sports Medicine (Family Medicine) Physician
  • Pembroke, MA
National Provider Identifier
1184036337
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
286638 Issued in MA
Practice address
15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone
(781) 826-8065
NPI assigned
May 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO188922 OR
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X 286638 MA Primary

Addresses

Primary practice location

15 Corporate Park Dr
Pembroke, MA 02359-1966

Mailing address

56 New Driftway
Scituate, MA 02066-4533
Phone (781) 545-7243

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Other practice location 2

17055 Ruben Ln
Sandy, OR 97055
Phone (503) 668-8002

Other practice location 3

56 New Driftway
Scituate, MA 02066-4533
Phone (781) 545-7243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429002685 MA Practitioner - Family PracticePractitioner - Sports Medicine 3072739705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Medical Associates IncGroup PAC ID 2466356209, 130 clinicians

Practice addresses (Care Compare)

15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone (781) 826-8065

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

56 New Driftway
Scituate, MA 02066-4533
Phone (781) 545-7243

Hospital & facility affiliations

  • South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Bayada Home Health Care Inc Home health agency, Plymouth, MA, CCN 227537
  • Croi Health Hospice, Norwell, MA, CCN 221583
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO188922ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Associates, Inc. CurrentSince May 1, 2021 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Harbor Medical Associates, Inc. Family Medicine CurrentSince May 1, 2021 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

15 Corporate Park Dr
Pembroke, MA 02359
Phone (781) 826-8065

56 New Driftway
Scituate, MA 02066
Phone (781) 544-3434

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 414
Weymouth, MA 02190
Phone (781) 952-1433

Interoperability endpoints

  • Direct secure messaging: patterson.william.bwh@direct.partners.masshiway.net

Organizations & group practices 4

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 12

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1184036337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 NEW DRIFTWAY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664533",
            "telephone_number": "781-545-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE PARK DR",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591966",
            "telephone_number": "781-826-8065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17055 Ruben Ln",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "OR",
            "postal_code": "97055",
            "country_code": "US",
            "telephone_number": "503-668-8002",
            "fax_number": "503-668-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56 New Driftway",
            "address_purpose": "LOCATION",
            "city": "Scituate",
            "state": "MA",
            "postal_code": "020664533",
            "country_code": "US",
            "telephone_number": "781-545-7243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "WILLIAM",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO188922",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MA",
            "license": "286638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

Verify at the official NPI Registry.