DR. MAMATHA PRABHAKARA (NPI# 1225092430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225092430 |
| Entity Type | Individual |
| Full Name | DR. MAMATHA PRABHAKARA |
| Credential | M.D. |
| Practice Address |
235 N Pearl St Brockton MA 02301-1794 |
| Mailing Address |
10 Bluff Head Rd Sharon MA 02067-1644 |
| Practice Telephone | 5084272335 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 215844 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2103915 | 05 |
| Street Address |
235 N PEARL ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527020 | Mark S Dichter | Internal Medicine | 235 N Pearl St, Brockton, MA 02301-1794 | 2005-09-08 |
| 1811523913 | Paige Graham | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2020-03-20 |
| 1477109627 | Nathaniel Minh Dang | Nurse Practitioner | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-08-14 |
| 1457811846 | Joliane Charlotin | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-03-21 |
| 1437614229 | Julia Louis | Advanced Practice Midwife | 235 N Pearl St, Brockton, MA 02301-1700 | 2019-02-05 |
| 1124502497 | Guy A Fleuette | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-09-21 |
| 1114408275 | Jacqueline Gail Donahue | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-27 |
| 1326529652 | Christie E. Culbert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-24 |
| 1316425770 | Karyn Smart-strobert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-07-29 |
| 1982101192 | Eva Gougian | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710349329 | Jill Elizabeth Harrington | Internal Medicine | Va Boston; Brockton Campus, 940 Belmont Street, Brockton, MA 02301 | 2016-03-23 |
| 1487800900 | Tinah L Canda | Internal Medicine | 1300 Belmont St, Brockton, MA 02301-4433 | 2008-08-15 |
| 1689836868 | Alireza H Nezhad | Internal Medicine | 25 Libby St, Brockton, MA 02302-2949 | 2008-06-27 |
| 1437360302 | Francis H. Freccero, M.d. | Internal Medicine | 77 Byron Ave, Brockton, MA 02301-4201 | 2007-05-24 |
| 1679665442 | Edward Francis Freccero | Internal Medicine | 77 Bryon Avenue, Brockton, MA 02301-4201 | 2006-09-29 |
| 1104927102 | Bahige Asaker | Internal Medicine | 1020 Pleasant Street, Brockton, MA 02301-5055 | 2006-09-25 |
| 1568578425 | Chandrika Kambam | Internal Medicine | Bridgewater Goddard Medical Park Assoc., 110 Liberty Street, Brockton, MA 02301 | 2006-08-22 |
| 1689607079 | Robert G Covett | Internal Medicine | 178 Quincy Ave, Brockton, MA 02302-2803 | 2006-07-08 |
| 1689613911 | Roland J. Florio | Internal Medicine | 1300 Belmont Street, Brockton, MA 02301-4433 | 2006-06-05 |
| 1295772309 | Felix U Mayers | Internal Medicine | 130 Quincy Ave, Brocton Hospital, Brockton, MA 02302-2803 | 2006-05-31 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.