Provider Type Icon

ESP MEDICAL LLC NPI 1548592934


NPI Information

NPI: 1548592934
Provider Name: ESP MEDICAL LLC
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Address:
830 OAK ST
SUITE 102W
BROCKTON, MA
ZIP 02301
Phone: (508) 521-9259
Get Directions

ESP MEDICAL LLC is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Brockton, MA. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. ESP MEDICAL LLC NPI is 1548592934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

830 OAK ST
SUITE 102W
BROCKTON, MA
ZIP 02301-168
Phone: (508) 521-9259
Fax: (844) 823-0453

The provider's authorized official is Vikas Merchia .
The authorized official title is Managing Member and has the following contact phone number (508) 271-5157.

The enumeration date for this NPI number is 2/10/2010 and was last updated on 4/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine231507MASSACHUSETTSNo
2207R00000XInternal MedicineNo
3207RB0002XInternal MedicineObesity Medicine231507MASSACHUSETTSNo
4207RS0012XInternal MedicineSleep Medicine231507MASSACHUSETTSNo
5207V00000XObstetrics & Gynecology208912MASSACHUSETTSNo
6207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery208912MASSACHUSETTSYes
7207VG0400XObstetrics & GynecologyGynecologyNo
8207VX0000XObstetrics & GynecologyObstetricsNo
9261QS1200XClinic/CenterSleep Disorder Diagnostic231507MASSACHUSETTSNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12126842MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.