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NPI 1235957713 · live from the CMS NPI Registry

Lifespan Physician Group Of Massachusetts INC

Family Medicine in Taunton, MA. National Provider Identifier 1235957713, active.

NPI record

NPI1235957713 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location2007 Bay St, Taunton, MA 02780
Practice phone774-409-2009
Mailing address15 La Salle Sq, Providence, RI 02903
EnumeratedOctober 2, 2024
Last updatedJuly 15, 2026
Authorized officialPeter Markell, Evp And Chief Financial Office
Other namesBrown Health Medical Group Of Massachusetts

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X—
Dietitian, Registered133V00000X—
Anesthesiology207L00000X—
Emergency Medicine207P00000X—
Family Medicine primary207Q00000X—
Internal Medicine207R00000X—
Obstetrics & Gynecology207V00000X—
Pathology, Anatomic Pathology & Clinical Pathology207ZP0102X—
Pediatrics208000000X—
Psychiatry & Neurology, Neurology2084N0400X—
Psychiatry & Neurology, Psychiatry2084P0800X—
Radiology, Diagnostic Radiology2085R0202X—
Surgery208600000X—
Physical Therapist225100000X—
Occupational Therapist225X00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.