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REVERE MEDICAL OF MASSACHUSETTS, PC
NPI 1336976539
Internal Medicine in Brockton, MA

Active since September 19, 2024
1 PEARL ST STE 2100, BROCKTON, MA 02301(508) 897-6040 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2025, Sep 19, 2024 (2 updates tracked since 2024).

About Revere Medical Of Massachusetts, Pc NPPES

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

REVERE MEDICAL OF MASSACHUSETTS, PC (NPI 1336976539) is a healthcare organization registered as an internal medicine in Brockton, Massachusetts and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Methuen and lists Jane Holden, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1336976539
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREVERE MEDICAL OF MASSACHUSETTS, PC
Location Address1 PEARL ST STE 2100Brockton, MA 02301-2868
Mailing Address40 Burton Hills Blvd Ste 370Nashville, TN 37215-6287 · (615) 672-7122 · Fax (615) 672-7849
Phone(508) 897-6040
Organization SubpartNo
Authorized OfficialJane HoldenBilling Manager · (615) 672-7122
Enumeration DateSeptember 19, 2024
Last NPPES UpdateJune 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1336976539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 PEARL ST STE 2100, Brockton, MA 02301
Open in Google Maps ↗

Secondary Practice Location 1

Location 160 East StMethuen, MA 01844-4500 · Phone (978) 683-9177 · Fax (978) 688-8679

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revere Medical Of Massachusetts, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

261

Medicare enrollment records show 261 clinicians reassign Medicare billing to Revere Medical Of Massachusetts, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 50 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Nurse Practitioner77
Internal Medicine59
Family Practice26
Cardiovascular Disease (Cardiology)19
Obstetrics/Gynecology14
General Surgery11
Orthopedic Surgery6
Pediatric Medicine4
26 other specialties45

Nearest to this location (20)

See all 261
Lindsay Carranza, NP
Nurse Practitioner
NPI 1649804949
1 PEARL ST STE 2400
Brockton, MA 02301
(508) 897-6130
✔ PECOS✔ Accepts MedicareSame address
Penelope Kagan
Internal Medicine
NPI 1194341008
1 PEARL ST STE 2100
Brockton, MA 02301
(508) 897-6040
✔ PECOS✔ Accepts MedicareSame address
Kristina Mulcahy, FNP
Nurse Practitioner
NPI 1760732473
GSMC - HOSPITAL PROVIDERS 235 NORTH PEARL ST
Brockton, MA 02301
(508) 427-3000
✔ PECOS✔ Accepts MedicareSame address
Maboh Achiri
Nurse Practitioner
NPI 1134526676
316 N PEARL ST
Brockton, MA 02301
(781) 492-5456
✔ PECOS✔ Accepts Medicare1.3 mi
Jolly Abeskheron, M.D.
Internal Medicine
NPI 1033476627
1 PEARL ST SUITE 1000
Brockton, MA 02301
(508) 897-6060
✔ PECOS✔ Accepts Medicare1.5 mi
Jocelyn Bresnahan, NP
Nurse Practitioner
NPI 1982685095
1 PEARL ST SUITE 2400
Brockton, MA 02301
(508) 897-6130
✔ PECOS✔ Accepts Medicare1.6 mi
Faisal Hamada, MD
Internal Medicine
NPI 1851387799
1 PEARL ST
Brockton, MA 02301
(508) 897-4761
✔ PECOS✔ Accepts Medicare1.6 mi
Joseph Kagan, MD
Internal Medicine
NPI 1851388029
1 PEARL ST SUITE 2100
Brockton, MA 02301
(508) 897-6040
✔ PECOS✔ Accepts Medicare1.6 mi
David Mudd, MD
Internal Medicine
NPI 1750376794
1 PEARL ST SUITE 1000
Brockton, MA 02301
(508) 897-6080
✔ PECOS✔ Accepts Medicare1.6 mi
Lindsay Kaplan, FNP-BC
Nurse Practitioner
NPI 1073166393
1 PEARL ST STE 2100
Brockton, MA 02301
(508) 897-6040
✔ PECOS✔ Accepts Medicare1.6 mi
David Goldberg, M.D.
Cardiovascular Disease (Cardiology)
NPI 1053397810
235 NORTH PEARL ST.
Brockton, MA 02301
(508) 427-3000
✔ PECOS✔ Accepts Medicare1.7 mi
Julie Stone, M.D.
Obstetrics/Gynecology
NPI 1851710081
235 N PEARL ST FL 2
Brockton, MA 02301
(508) 427-3000
✔ PECOS✔ Accepts Medicare1.7 mi
Jonathan Croopnick, M.D.
Hematology/Oncology
NPI 1598871360
830 OAK ST SUITE 104W
Brockton, MA 02301
(508) 427-5599
✔ PECOS1.7 mi
Charu Jain, MD
Obstetrics/Gynecology
NPI 1720214349
830 OAK ST STE 223E
Brockton, MA 02301
(508) 427-2222
✔ PECOS✔ Accepts Medicare1.7 mi
Bruce Kriegel, MD
Cardiovascular Disease (Cardiology)
NPI 1376562447
830 OAK ST STE 205W
Brockton, MA 02301
(508) 583-4440
✔ PECOS✔ Accepts Medicare1.7 mi
Gary Miller, M.D.
Cardiovascular Disease (Cardiology)
NPI 1942390208
830 OAK ST STE 205W
Brockton, MA 02301
(508) 583-4440
✔ PECOS✔ Accepts Medicare1.7 mi
Stephen Addington, M.D.
General Surgery
NPI 1821449588
1350 BELMONT ST SUITE 102
Brockton, MA 02301
(774) 776-2991
✔ PECOS✔ Accepts Medicare2.3 mi
Peter Augustinos, M.D.
Vascular Surgery
NPI 1518936327
1 PEARL ST SUITE 2700
Brockton, MA 02301
(508) 584-4104
✔ PECOS✔ Accepts Medicare2.3 mi
Sara La Grange, M.D.
General Surgery
NPI 1477873792
1 PEARL ST SUITE 2000
Brockton, MA 02301
(508) 584-4104
✔ PECOS✔ Accepts Medicare2.3 mi
Davinderpal Singh
Infectious Disease
NPI 1265712236
1 PEARL ST STE 1500
Brockton, MA 02301
(508) 897-4794
✔ PECOS2.5 mi
See all 261 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Revere Medical Of Massachusetts, PC's NPI number?

The NPI number for Revere Medical Of Massachusetts, PC is 1336976539. It was assigned to this organization in the NPPES registry on September 19, 2024.

Where is Revere Medical Of Massachusetts, PC located?

Revere Medical Of Massachusetts, PC is located at 1 Pearl St Ste 2100, Brockton, MA 02301. The listed phone number is (508) 897-6040.

What is Revere Medical Of Massachusetts, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Revere Medical Of Massachusetts, PC enrolled in Medicare?

Yes. Revere Medical Of Massachusetts, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revere Medical Of Massachusetts, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 261 clinicians in 34 Medicare specialties reassign their Medicare billing to Revere Medical Of Massachusetts, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (77), Internal Medicine (59) and Family Practice (26). Of these, 3 practice at this address and 50 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revere Medical Of Massachusetts, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Revere Medical Of Massachusetts, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revere Medical Of Massachusetts, PC was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.