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DAVIS SQUARE FAMILY PRACTICE
NPI 1780782409
Family Medicine in Somerville, MA

Active since September 20, 2006CLIA 22D0076428 · Microscopy
260 ELM ST, SUITE 105, SOMERVILLE, MA 02144(617) 666-9577(617) 666-3190 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davis Square Family Practice NPPES

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

DAVIS SQUARE FAMILY PRACTICE (NPI 1780782409) is a healthcare organization registered as a family medicine in Somerville, Massachusetts and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through July 11, 2028 and lists Deborah Bershel, Owner, as its authorized official.

NPPES Registry Identity

NPI1780782409
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVIS SQUARE FAMILY PRACTICE
Location Address260 ELM ST, SUITE 105Somerville, MA 02144-2951
Mailing Address260 Elm St, Suite 105Somerville, MA 02144-2951 · (617) 666-9577 · Fax (617) 666-3190
Phone(617) 666-9577
Fax(617) 666-3190
Organization SubpartNo
Authorized OfficialDeborah BershelOwner · (617) 666-9577
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 10, 2011
✔ NPI 1780782409 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.
260 ELM ST, Somerville, MA 02144
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Other Identifiers 5

Other694934MA · Tufts Health Plan
Medicaid9722131MA
Medicare PINM21149MA
OtherM18036MA · Bcbs
Other80946MA · Fallon

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 ›

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 for Provider-Performed Microscopy Procedures (PPMP) 22D0076428

Davis Square Family Practice PC · Somerville, MA
Active · expires Jul 11, 2028
CLIA Number22D0076428
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorDeborah Bershel
Laboratory Phone(617) 666-9577
Laboratory LocationDavis Square Family Practice PC255 Elm St Ste 301, Somerville, MA 02144
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

CARMEN PHILLIPS
Nurse Practitioner (Family)
260 ELM ST
SOMERVILLE, MA 02144
Middlesex County (617) 666-9577
MRS. MICHELLE LYNN CLARKE FNP-BC
Nurse Practitioner (Family)
260 ELM ST, SUITE 105
SOMERVILLE, MA 02144
Middlesex County (617) 666-9577
DR. DEBORAH BERSHEL MD
Family Medicine
260 ELM ST, SUITE 105
SOMERVILLE, MA 02144
Middlesex County (617) 666-9577

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 Davis Square Family Practice's NPI number?

The NPI number for Davis Square Family Practice is 1780782409. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Davis Square Family Practice located?

Davis Square Family Practice is located at 260 Elm St Suite 105, Somerville, MA 02144. The listed phone number is (617) 666-9577.

What is Davis Square Family Practice's specialty?

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

Does Davis Square Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D0076428) is associated with this NPI, valid through July 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Davis Square Family Practice accept?

Health plans from Anthem Blue Cross and Blue Shield list Davis Square Family Practice 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 Davis Square Family Practice was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.