Active NPI
Nancey T Russo, DO
- Internal Medicine Physician
- Brockton, MA
National Provider Identifier
1609821651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 152370
- Practice address
- 235 N Pearl St
Brockton, MA 02301-1794 - Phone
- (508) 427-3034
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 152370 | MA | |
| Internal Medicine Physician | 207R00000X | 152370 | MA | Primary |
Addresses
Primary practice location
235 N Pearl St
Brockton, MA 02301-1794
Mailing address
42 Milwood St
Dorchester Center, MA 02124-5237
Phone (617) 872-5560
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
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Health Associates, PC | Internal Medicine | Past | Accepting new patients |
| Health Clinic Inc | Past | Accepting new patients | |
| Sturdy Health, Inc. | Internal Medicine | Past | Accepting new patients |
| Steward Medical Group, Inc | Past | Accepting new patients | |
| Morton Physician Associates Inc | Internal Medicine | 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.
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- Family Medicine Physician
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- NPI 1427436625
-
- Internal Medicine Physician
- Taunton, MA
- NPI 1831135748
-
- Advanced Practice Midwife
- Taunton, MA
- NPI 1710931332
Internal Medicine
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Internal Medicine Physician
- Mansfield, MA
- NPI 1871515874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609821651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 MILWOOD ST",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021245237",
"telephone_number": "617-872-5560",
"fax_number": "508-230-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011794",
"telephone_number": "508-427-3034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "NANCEY",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "152370",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "152370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.