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BESPOKE PRIMARY CARE, PLLC
NPI 1396617114
Family Medicine in Wellesley, MA

Active since September 22, 2025CLIA 22D2331608 · Waiver
60 WALNUT ST BSMT, WELLESLEY, MA 02481(617) 531-9503 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bespoke Primary Care, Pllc NPPES

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

BESPOKE PRIMARY CARE, PLLC (NPI 1396617114) is a healthcare organization registered as a family medicine in Wellesley, Massachusetts and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Michael Richardson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1396617114
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBESPOKE PRIMARY CARE, PLLC
Location Address60 WALNUT ST BSMTWellesley, MA 02481-2151
Mailing Address60 Walnut St BsmtWellesley, MA 02481-2151 · (617) 531-9503
Phone(617) 531-9503
Organization SubpartNo
Authorized OfficialMichael RichardsonMedical Director · (617) 531-9503
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1396617114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
60 WALNUT ST BSMT, Wellesley, MA 02481
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2331608

Bespoke Primary Care, LLC · Wellesley, MA
Active · expires Oct 5, 2027
CLIA Number22D2331608
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMichael P. Richardson
Laboratory Phone(617) 531-9503
Laboratory LocationBespoke Primary Care, LLC60 Walnut Street, Wellesley, MA 02481
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MICHAEL RICHARDSON M.D.
Family Medicine
60 WALNUT ST BSMT
WELLESLEY, MA 02481
Norfolk County (617) 531-9503

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 Bespoke Primary Care, PLLC's NPI number?

The NPI number for Bespoke Primary Care, PLLC is 1396617114. It was assigned to this organization in the NPPES registry on September 22, 2025.

Where is Bespoke Primary Care, PLLC located?

Bespoke Primary Care, PLLC is located at 60 Walnut St Bsmt, Wellesley, MA 02481. The listed phone number is (617) 531-9503.

What is Bespoke Primary Care, PLLC's specialty?

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

Does Bespoke Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2331608) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bespoke Primary Care, PLLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.