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: July 26, 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
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

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

Other Providers at the Same Location NPPES 5

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

Internal Medicine
1 PEARL ST STE 2100
BROCKTON, MA 02301
Internal Medicine
1 PEARL ST STE 2100
BROCKTON, MA 02301
Physician Assistant
1 PEARL ST STE 2100
BROCKTON, MA 02301
Nurse Practitioner (Primary Care)
1 PEARL ST STE 2100
BROCKTON, MA 02301
Nurse Practitioner (Family)
1 PEARL ST STE 2100
BROCKTON, MA 02301

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.

What insurance does Revere Medical Of Massachusetts, PC accept?

Health plans from Anthem Blue Cross and Blue Sheld and 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 with the weekly NPPES data releases published by CMS.