Active NPI
Adam Brant Sevensma
- Nurse Practitioner
- Swansea, MA
National Provider Identifier
1336622091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2289753
- Practice address
- 479 Swansea Mall Dr
Swansea, MA 02777-4119 - Phone
- (508) 973-1570
- Fax
- (508) 973-1545
- NPI assigned
- Sep 10, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2289753 | MA | Primary |
Addresses
Primary practice location
479 Swansea Mall Dr
Swansea, MA 02777-4119
Mailing address
200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN2289753 | Other | MA | MA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1336622091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD STE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195255",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 SWANSEA MALL DR",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774119",
"telephone_number": "508-973-1570",
"fax_number": "508-973-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVENSMA",
"first_name": "ADAM",
"middle_name": "BRANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-10",
"last_updated": "2023-11-27",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2289753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LICENSE",
"identifier": "RN2289753",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.