DR. DAVID ANDREW BROSS (NPI# 1881687804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881687804 |
| Entity Type | Individual |
| Full Name | DR. DAVID ANDREW BROSS |
| Credential | MD |
| Practice Address |
Mystic Valley Pediatrics 75 Riverside Avenue, Suite 2 Medford MA 02155 |
| Mailing Address |
71 Appleton St Apt #3 Boston MA 02116-6109 |
| Practice Telephone | 7813918821 |
| Practice Fax Number | 7813958798 |
| Mailing Telephone | 6172665185 |
| Mailing Fax Number | 7813958798 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 73788 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093879843 | David Peter Bross | Psychiatry & Neurology | 45 N Station Plz, Ste. 210, Great Neck, NY 11021-5011 | 2006-12-19 |
| Street Address |
MYSTIC VALLEY PEDIATRICS 75 RIVERSIDE AVENUE, SUITE 2 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| 1538435417 | Stefanie T Ogawa | Pediatrics | 840 Royal Ave Ste 110, Medford, OR 97504-6461 | 2012-03-26 |
| 1629150420 | Michael A Davis | Pediatrics | 840 Royal Ave, Suite 110, Medford, OR 97504-6461 | 2006-10-20 |
| 1154424158 | Laura Balestreri | Pediatrics | 1322 E Mcandrews Rd Ste 202, Medford, OR 97504-6177 | 2006-09-06 |
| 1174630263 | Jennifer Ann Nastasi | Pediatrics | 2799 Route 112 Ste 11, Medford, NY 11763-2535 | 2006-08-24 |
| 1225076722 | Jay Iype | Pediatrics | 2799 Route 112, Suite #11, Medford, NY 11763 | 2006-06-04 |
| 1730144221 | James Alan Frierson | Pediatrics | 1322 E Mcandrews Rd, Ste 202, Medford, OR 97504-6177 | 2006-04-19 |
| 1992765804 | Barbara J Sibley | Pediatrics | 750 Murphy Road, Medford, OR 97504 | 2006-03-24 |
| 1760470207 | Laurel Bell | Pediatrics | 2825 E. Barnett Rd, Medford, OR 97504-8179 | 2005-10-10 |
| 1417953381 | Martin Kenneth Young | Pediatrics | 2940 Doctors Park Dr, Children and Adolescents Clinic, Medford, OR 97504 | 2005-06-24 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on DR. DAVID ANDREW BROSS.
| 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.