Debra Ann Picerno, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

157717 Issued in MA

Practice address

1029 Pleasant St
Suite 100
Bridgewater, MA 02324

Phone

(508) 697-8116

Fax

(508) 697-8117

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Debra Ann Tucker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

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

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.

• Brockton Pediatrics

  • Primary Care Clinic/Center
  • Brockton, MA
  • NPI 1629001904
  NPD (past)
• Southeast Medical Group, P.C.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235296054
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1871508283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST",
            "address_2": "SUITE 100",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02324",
            "telephone_number": "508-697-8116",
            "fax_number": "508-697-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST",
            "address_2": "SUITE 100",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02324",
            "telephone_number": "508-697-8116",
            "fax_number": "508-697-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICERNO",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "157717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "TUCKER",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wendy Beth Penniman, PTA
• Amy Grace Pereira, BA
• Kaitlyn Peretti, PSY.D.
• Kevin A Perry, D.C.
• Julie Elizabeth Persampieri, LICSW
• Shannon Dianne Pickett, LMHC
• Ann Pimental, MSCJ, MSMHC
• Tycin William Pina
• Tara Plante, COTA/L
• Aislyn M Plath, LMHC

• Pediatrics Physician in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.