BREAST CENTER OF SOUTH COAST, LLC (NPI# 1629177597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629177597 |
| Entity Type | Organization |
| Organization Name | BREAST CENTER OF SOUTH COAST, LLC |
| Practice Address |
52 Brigham St Suite 3 New Bedford MA 02740-2210 |
| Mailing Address |
690 Canton St Suite 325 Westwood MA 02090-2321 |
| Practice Telephone | 5089902220 |
| Practice Fax Number | 5089949628 |
| Mailing Telephone | 7814077713 |
| Mailing Fax Number | 7814070998 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | PATRICIA ANDRADE (PRESIDENT) |
| Authorized Official Telephone | 5089902220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MA | Allopathic & Osteopathic Physicians |
| Street Address |
52 BRIGHAM ST SUITE 3 |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02740-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124317912 | Kenneth Everett Jeffery | Social Worker | 52 Brigham St, Suite 5, New Bedford, MA 02740-2210 | 2011-04-01 |
| 1679732580 | Patricia L. Andrade, Md | General Practice | 52 Brigham St, Suite 3, New Bedford, MA 02740-2210 | 2008-06-05 |
| 1104008176 | Shelli Ann Roche | Speech-Language Pathologist | 52 Brigham St, Suite 4, New Bedford, MA 02740-2210 | 2007-12-03 |
| 1477686244 | Sandra J Donnelly | Speech-Language Pathologist | 52 Brigham St, Suite 4, New Bedford, MA 02740 | 2007-03-13 |
| 1275689226 | Jennifer Thayer | Occupational Therapist | 52 Brigham St, Suite 6, New Bedford, MA 02740 | 2007-01-25 |
| 1679625842 | Ann Leslie Joyal | Occupational Therapist | 52 Brigham St, Suite 6, New Bedford, MA 02740 | 2007-01-17 |
| 1023101011 | Mark Savino | Social Worker | 52 Brigham St, Suite 5, New Bedford, MA 02740-2210 | 2006-10-02 |
| 1659472421 | Wayne Gerard Tessier | Psychologist | 52 Brigham St, Suite 5, New Bedford, MA 02740-2210 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
| 1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
| 1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
| 1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
| 1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
| 1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
| Find all providers in zip 02740 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992141600 | Primary Medical Care, Inc. | General Practice | 785 Rockdale Avenue, New Bedford, MA 02740 | 2013-05-21 |
| 1184797375 | New England Evaluation Services | General Practice | 1173 Acushnet Ave, New Bedford, MA 02746 | 2006-11-16 |
| 1346322740 | Peter Matthew Horan | General Practice | 785 Rockdale Ave, New Bedford, MA 02740-1562 | 2006-10-19 |
| 1497707673 | Tru-med, N.b. Walk In | General Practice | 140 Nauset St, New Bedford, MA 02746-1522 | 2006-05-16 |
| 1114176385 | South East Center for Swallowing and Communication Disorders, PC | General Practice | 92 Grape St, Unit 1, New Bedford, MA 02740-2143 | 2008-09-12 |
| 1679732580 | Patricia L. Andrade, Md | General Practice | 52 Brigham St, Suite 3, New Bedford, MA 02740-2210 | 2008-06-05 |
| 1265617997 | New Bedford Surgical Associates Inc | General Practice | 49 Hawthorn St, New Bedford, MA 02740 | 2007-12-31 |
| 1497829253 | Health Clinic Inc | General Practice | 1155 Purchase St, New Bedford, MA 02740 | 2006-11-20 |
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|---|---|---|---|---|
| 1588289656 | Kissinger Hyppolite Fils | General Practice | 2 Marie St, Worcester, MA 01604-2358 | 2020-06-14 |
| 1437629458 | Integrated Wound Care Massachusetts Pllc | General Practice | 750 Woburn St, Wilmington, MA 01887-3480 | 2018-12-03 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1629588389 | Ethan Gershon | General Practice | 375 Hunnewell St, Needham, MA 02494-1340 | 2017-10-09 |
| 1841739489 | Landmark Medical of Massachusetts Pllc | General Practice | 1400 Computer Dr, Westborough, MA 01581-1760 | 2017-02-15 |
| 1881059665 | Optimal Professional Health Services PC | General Practice | 1418 Providence Hwy, Suite N, Norwood, MA 02062-4655 | 2015-12-22 |
| 1134503865 | Abdulaziz Saleh Alfadhel | General Practice | 55 Station Lndg, Apt 507, Medford, MA 02155-5007 | 2015-07-13 |
| 1508290040 | Richard Lerner | General Practice | 2 Central St, Framingham, MA 01701-4163 | 2013-09-01 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02740 |
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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.