Active NPI
Milton D Childress, M.D.
- Neurology Physician
- Duxbury, MA
National Provider Identifier
1346324365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 212633
- Practice address
- 20 Tremont St
#20
Duxbury, MA 02332-5310 - Phone
- (781) 934-9741
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 212633 | MA | Primary |
Addresses
Primary practice location
20 Tremont St
#20
Duxbury, MA 02332-5310
Mailing address
20 Tremont St
#20
Duxbury, MA 02332-5310
Phone (781) 934-9741
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Neurology, PC | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346324365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 TREMONT ST",
"address_2": "#20",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023325310",
"telephone_number": "781-934-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 TREMONT ST",
"address_2": "#20",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023325310",
"telephone_number": "781-934-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDRESS",
"first_name": "MILTON",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "212633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.