NPIMap

Individual provider Active NPI

Edward Francis Freccero, MD

  • Internal Medicine Physician
  • Brockton, MA
National Provider Identifier
1679665442
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151454 Issued in MA
Practice address
77 Bryon Avenue
Brockton, MA 02301-4201
Phone
(508) 583-7595
Fax
(508) 559-2278
NPI assigned
Sep 29, 2006
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151454 MA Primary

Addresses

Primary practice location

77 Bryon Avenue
Brockton, MA 02301-4201

Mailing address

77 Bryon Avenue
Brockton, MA 02301-4201
Phone (508) 583-7595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000639 MA Practitioner - Internal Medicine 1951571314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77 Byron Ave
Brockton, MA 02301-4201
Phone (508) 583-7595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.5 of 100Reported as individual
Quality
51.67
Improvement activities
0
Cost
76.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
151454MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freccero Medical Associates PC Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients

Locations

77 Byron Ave
Brockton, MA 02301
Phone (508) 583-7595

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBEAA/Endpoint/FBBEAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1679665442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BRYON AVENUE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014201",
            "telephone_number": "508-583-7595",
            "fax_number": "508-559-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BRYON AVENUE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014201",
            "telephone_number": "508-583-7595",
            "fax_number": "508-559-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRECCERO",
        "first_name": "EDWARD",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "151454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.