Organization Active NPI

Richard a. Gross, M.D., P.C.

  • Internal Medicine Physician
  • Middleboro, MA
National Provider Identifier
1912192030
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42720 Issued in MA
Legal business name
RICHARD A. GROSS, M.D., P.C.
Practice address
339 Center St
Middleboro, MA 02346-2143
Phone
(508) 947-7673
Fax
(508) 947-6336
NPI assigned
Sep 11, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Richard Allen Gross, M.D.
Title
President
Phone
(508) 947-7673

Practitioners 2

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 42720 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

339 Center St
Middleboro, MA 02346-2143

Mailing address

339 Center St
Middleboro, MA 02346-2143
Phone (508) 947-7673

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
712579OtherMATUFTS
J17026OtherMABCBC/MA
9725636MedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2007.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1912192030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CENTER ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462143",
            "telephone_number": "508-947-7673",
            "fax_number": "508-947-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CENTER ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462143",
            "telephone_number": "508-947-7673",
            "fax_number": "508-947-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. GROSS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-947-7673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "42720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712579",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC/MA",
            "identifier": "J17026",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9725636",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.