Organization Active NPI

Walpole Medical Associates, PC

  • Internal Medicine Physician
  • Walpole, MA
National Provider Identifier
1720324528
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79294 Issued in MA
Legal business name
WALPOLE MEDICAL ASSOCIATES, PC
Practice address
1000 East St
Walpole, MA 02081-2900
Phone
(508) 668-6060
Fax
(508) 668-5757
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Rezene Berhaine, MD
Title
President
Phone
(508) 668-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 79294 MA Primary

Addresses

Primary practice location

1000 East St
Walpole, MA 02081-2900

Mailing address

1000 East St
Walpole, MA 02081-2900
Phone (508) 668-6060

National Provider Directory

National Provider Directory

Locations

1000 East St
Walpole, MA 02081
Phone (508) 668-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1720324528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812900",
            "telephone_number": "508-668-6060",
            "fax_number": "508-668-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812900",
            "telephone_number": "508-668-6060",
            "fax_number": "508-668-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALPOLE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "BERHAINE",
        "authorized_official_first_name": "REZENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-668-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "79294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.