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

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

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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 maintains a secondary practice location in Bryan and 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 Address309 N Washington Ave, Suite 13Bryan, TX 77803-5368

Phone(877) 872-0370

Fax(855) 908-2520

Organization SubpartNo

Authorized OfficialKathryn J SowerwineCmo · (979) 221-1398

Enumeration DateFebruary 13, 2017

Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration

NPPES CertifiedMarch 15, 2024

✔ 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

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Other Names 1

Other NameWellspring Physician, P.c. (ma)

Secondary Practice Location 1

Location 1309 N Washington Ave, Suite 13Bryan, TX 77803-5368 · Phone (979) 431-5664

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