Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WELLSPRING PHYSICIAN, P.C. - MA
NPI 1265971105
Family Medicine in Boston, MA

Active since February 13, 2017
84 STATE ST, BOSTON, MA 02109(877) 872-0370(855) 908-2520 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Sep 2, 2025, Feb 13, 2017 (3 updates tracked since 2017).

About Wellspring Physician, P.c. - Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPRING PHYSICIAN, P.C. - MA (NPI 1265971105) is a healthcare organization registered as a family medicine in Boston, Massachusetts and active in the NPI registry since February 2017. The organization lists Kathryn J Sowerwine, Cmo, as its authorized official.

NPPES Registry Identity

NPI1265971105
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPRING PHYSICIAN, P.C. - MA
Location Address84 STATE STBoston, MA 02109-2202
Mailing Address4359 Roans Chapel RdCollege Station, TX 77845-4096
Fax(855) 908-2520
Organization SubpartNo
Authorized OfficialKathryn J SowerwineCmo · (979) 221-1398
Enumeration DateFebruary 13, 2017
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
NPI 1265971105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
84 STATE ST, Boston, MA 02109

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
84 STATE ST
BOSTON, MA 02109
Psychologist (Clinical)
84 STATE ST
BOSTON, MA 02109
Psychiatry & Neurology (Psychiatry)
84 STATE ST, SUITE 660
BOSTON, MA 02109
Preventive Medicine (Obesity Medicine)
84 STATE ST
BOSTON, MA 02109
Nurse Practitioner (Family)
84 STATE ST, SUITE 660
BOSTON, MA 02109
Social Worker (Clinical)
84 STATE ST
BOSTON, MA 02109
Nurse Practitioner (Family)
84 STATE ST
BOSTON, MA 02109
Psychologist (Clinical)
84 STATE ST
BOSTON, MA 02109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellspring Physician, P.C. - Ma's NPI number?

The NPI number for Wellspring Physician, P.C. - Ma is 1265971105. It was assigned to this organization in the NPPES registry on February 13, 2017.

Where is Wellspring Physician, P.C. - Ma located?

Wellspring Physician, P.C. - Ma is located at 84 State St, Boston, MA 02109. The listed phone number is (877) 872-0370.

What is Wellspring Physician, P.C. - Ma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wellspring Physician, P.C. - Ma was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.