Kevin P Charpentier, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

277097 Issued in MA

Practice address

680 Centre St
Brockton, MA 02302

Phone

(508) 941-7000

Fax

(508) 941-0895

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Tufts University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Silver Spring Health Care Management, Inc.

  • Surgery Physician
  • Wakefield, RI
  • NPI 1619157468
  Medicare reassignment Care Compare group NPD
• Silver Spring Health Care Management, Inc.

  • Pediatrics Physician
  • Wakefield, RI
  • NPI 1992224497
  NPD
• Hartford Clinical Associates, P.C.

  • Transplant Surgery Physician
  • Hartford, CT
  • NPI 1134282460
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1720087919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7885",
            "fax_number": "508-941-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02302",
            "telephone_number": "508-941-7000",
            "fax_number": "508-941-0895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Dudley St",
            "address_2": "Suite 470",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053236",
            "country_code": "US",
            "telephone_number": "401-444-5285",
            "fax_number": "401-444-3283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Dudley St",
            "address_2": "Suite 470",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053236",
            "country_code": "US",
            "telephone_number": "401-444-5285",
            "fax_number": "401-444-3283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARPENTIER",
        "first_name": "KEVIN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CT",
            "license": "041519",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "RI",
            "license": "MD12241",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "041519",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD12241",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "277097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7059024",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Charles
• Luna Charles
• Yvonne Charles
• Isabelle Charlot
• Joliane Charlotin
• Jennifer S Chase
• Stephen Chase, MD
• Judith R Chaskes
• Taina Chatelain, RN
• Ahmed Aziz Chaudhary, M.D.

• Surgery Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.