Brent Pennington, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

281923 Issued in MA

Practice address

116 Long Pond Rd Ste 4
Plymouth, MA 02360-2663

Phone

(857) 364-4418

Fax

(508) 747-1017

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1386629350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LONG POND RD STE 4",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602663",
            "telephone_number": "857-364-4418",
            "fax_number": "508-747-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LONG POND RD STE 4",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602663",
            "telephone_number": "857-364-4418",
            "fax_number": "508-747-1017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Lee Road",
            "address_2": "Kaehler Memorial Medical Center",
            "address_purpose": "LOCATION",
            "city": "Buzzards Bay",
            "state": "MA",
            "postal_code": "025425024",
            "country_code": "US",
            "telephone_number": "508-968-6576",
            "fax_number": "508-968-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "2587",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "281923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Gary Pearson, FNP-BC
• Pediatric Services of America, LLC
• Daina L Peirce, NP
• Ryan James Pelletier, PHARM.D.
• Veronica L Pena
• John A Pennino
• Kiera Pennucci
• Katarzyna Peoples
• Roxanne Marie Pepe
• Amy Ruth Pereira

• Internal Medicine Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.