Organization Active NPI

Coordinated Primary Care, Inc

  • Emergency Medicine Physician
  • Leominster, MA
National Provider Identifier
1639378441
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
COORDINATED PRIMARY CARE, INC
Practice address
510 N Main St
Leominster, MA 01453-1814
Phone
(978) 466-8820
NPI assigned
Jul 12, 2007
Organization subpart
Yes
Parent organization
COORDINATED PRIMARY CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Mr. John Edward Bronhard II
Title
Cfo
Phone
(978) 870-1550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

510 N Main St
Leominster, MA 01453-1814

Mailing address

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-8820

Other names 1

  • Urgent Care - Leominster Doing business as

National Provider Directory

National Provider Directory
Part of
Coordinated Primary Care Inc

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1639378441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-466-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531814",
            "telephone_number": "978-466-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED PRIMARY CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COORDINATED PRIMARY CARE, INC",
        "enumeration_date": "2007-07-12",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "BRONHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-870-1550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care - Leominster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.