Breast Center of South Coast, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BREAST CENTER OF SOUTH COAST, LLC

Practice address

52 Brigham St
Suite 3
New Bedford, MA 02740-2210

Phone

(508) 990-2220

Fax

(508) 994-9628

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Patricia Andrade, MD

Title

President

Phone

(508) 990-2220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1629177597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BRIGHAM ST",
            "address_2": "SUITE 3",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402210",
            "telephone_number": "508-990-2220",
            "fax_number": "508-994-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CENTER OF SOUTH COAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-990-2220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia E Bradley, MS CCC-SLP
• Kelsee Marie Brager
• Kathryn Braley
• Kaitlyn Braswell, LMHC
• Bonnie J Brault, LMHC
• Alyssa Kate Breault
• Bridge to Wellness, LLC
• Lori Bridge
• Shanna Bridges II
• Brittany Briggs

• General Practice Physician in New Bedford, MA
• Providers in New Bedford, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.