Sports Medicine Health LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

26380 Issued in MA

Legal business name

SPORTS MEDICINE HEALTH LLC

Practice address

730 Main St Ste 1
Millis, MA 02054-1612

Phone

(508) 356-7788

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Judy L Brasier, DONPI 1548299530

Title

Ceo/Physician

Phone

(508) 356-7788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judy L. Brasier, D.O.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Millis, MA
  • NPI 1548299530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1205211331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MAIN ST STE 1",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541612",
            "telephone_number": "508-356-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "BRASIER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "508-356-7788",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "MA",
            "license": "26380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa T Shapkin, DC
• Jana Sieswerda, LIC.AC.
• Kathleen Elizabeth Simmons
• Dawn M Skop, LMHC, LADC1
• Luzbella M. Southard, M.D.
• Stephen Stern, D.C.
• Michelle Storm, CNP
• Michelle Marie Durand Straube, O.D.
• Summit Community Services
• Gabrielle Noelle Sweeney, RN

• Sports Medicine (Internal Medicine) Physician in Millis, MA
• Providers in Millis, MA by specialty
• Sports Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.