Individual provider Active NPI

Brian Chester Sperre, DPM

  • Podiatrist
  • Brockton, MA
National Provider Identifier
1346331006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1509 Issued in MA
Practice address
1351 Main St
Brockton, MA 02301-7153
Phone
(508) 586-3613
Fax
(508) 586-3613
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1509 MA Primary

Addresses

Primary practice location

1351 Main St
Brockton, MA 02301-7153

Mailing address

1351 Main St
Brockton, MA 02301-7153
Phone (508) 586-3613

Other identifiers 1

IdentifierTypeStateIssuer
0334391MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000529 MA Practitioner - Podiatry 0840209458 Practice locations: North Attleboro, MA; Norton, MA; North Easton, MA; Marshfield, MA; Mansfield, MA; Hingham, MA; Foxboro, MA; Cohasset, MA…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 SGT William B Terry Dr
Hingham, MA 02043-1545
Phone (781) 749-7114

10 Village Green Way
Marshfield, MA 02050-2754
Phone (781) 834-7885

125 King St
Cohasset, MA 02025-1364
Phone (781) 383-6300

1351 Main St
Brockton, MA 02301-7153
Phone (508) 586-3613

190 Mansfield Ave
Norton, MA 02766-1349
Phone (508) 285-3355

25 Cobb St
Mansfield, MA 02048-4505
Phone (508) 470-0074

40 Robert Toner Blvd
North Attleboro, MA 02763-1184
Phone (508) 455-5131

678 Depot St
North Easton, MA 02356-2768
Phone (508) 535-2203

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue798
Removal or shaving of skin growth243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1509MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doolittle Home Inc. Past Accepting new patients
Post Acute Specialists of Massachusetts PLLC Past Accepting new patients
Glenna Waitt OD LLC Past Accepting new patients
Vantage Healthcare LLC Past Accepting new patients
Home Physician PC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346331006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017153",
            "telephone_number": "508-586-3613",
            "fax_number": "508-586-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017153",
            "telephone_number": "508-586-3613",
            "fax_number": "508-586-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRE",
        "first_name": "BRIAN",
        "middle_name": "CHESTER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334391",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.