Sound Physicians of Massachusetts II PC
Organization Active NPI Internal Medicine Physician · Brockton, MA
NPI 1306376397 · NPPES record last updated Jun 13, 2017
Key facts
- NPI
- 1306376397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- SOUND PHYSICIANS OF MASSACHUSETTS II PC
- Practice address
- 235 N Pearl St
Brockton, MA 02301-1794 - Phone
- (615) 377-5658
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Robert Bessler, MD
- Title
- President
- Phone
- (615) 377-5658
Practitioners 222
-
Eric D Abston, MD
-
Archana Agarwal, MD
-
Reziwanguli Aji, MD
-
Shideh Amirifeli, M.D.
-
Hassan Arif, MD
-
Raafat Awad Mousad, M.D.
-
Wael Barkoudah, M.D.
-
Judith Bellevue, NP
-
Courtney Bendiksen, MSN, AGACNP-BC
-
Maya Berdzenishvili, M.D.
-
Greta H Boynton, M.D.
-
Sheila Brown, CNP
-
Jaehyun Byun, M.D.
-
Eric Hyolim Chun, MD
-
Lisa A Crary, NP-C
-
Praveen Devineni, M.D
-
Walter Dittel, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170823003703 | MA | Part B Supplier - Clinic/Group Practice | 9436421567 |
Receives reassigned benefits from 188 practitioners Practice locations: Brockton, MA; Holyoke, MA |
| O20220607002184 | CT | Part B Supplier - Clinic/Group Practice | 9436421567 |
Receives reassigned benefits from 34 practitioners Practice locations: Manchester, CT; Vernon, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
235 N Pearl St
Brockton, MA 02301-1794
Mailing address
5410 Maryland Way Ste 100
Brentwood, TN 37027-5064
Other providers in Brockton, MA
- Nicole Sorey
- Tolulope Sorinmade
- Khaled A Sorour
- Hector Sostre
- Lynnit Sotomayor
- Sound Physicians of Massachusetts Inc
- Claudia M Sousa
- Daline Sousa
- Lisa Marie Sousa
- South Bay Mental Health
All providers in Brockton, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.