Individual provider Active NPI

Robert G Covett, D.O.

  • Internal Medicine Physician
  • Brockton, MA
National Provider Identifier
1689607079
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48604 Issued in MA
Practice address
178 Quincy Ave
Brockton, MA 02302-2803
Phone
(508) 586-7400
Fax
(508) 586-2911
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 48604 MA Primary

Addresses

Primary practice location

178 Quincy Ave
Brockton, MA 02302-2803

Mailing address

178 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 586-7400

Other identifiers 1

IdentifierTypeStateIssuer
0163295MedicaidMA

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

State licenses

LicenseStateTypeSpecialty
48604MAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1689607079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 QUINCY AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022803",
            "telephone_number": "508-586-7400",
            "fax_number": "508-586-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 QUINCY AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022803",
            "telephone_number": "508-586-7400",
            "fax_number": "508-586-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVETT",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "48604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163295",
            "state": "MA"
        }
    ],
    "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 Nov 22, 2011; 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.