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ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC NPI 1164442919


NPI Information

NPI: 1164442919
Provider Name: ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC

Other Name: BROOKSBY MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 22D0974796

Address:
100 BROOKSBY VILLAGE DR
PEABODY, MA
ZIP 01960
Phone: (978) 536-7850
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ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC is an internal medicine in Peabody, MA. The provider is 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. ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC NPI is 1164442919. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Brooksby Medical Center.

The provider's business location address is:

100 BROOKSBY VILLAGE DR
PEABODY, MA
ZIP 01960-438
Phone: (978) 536-7850
Fax: (978) 536-7051

The provider's authorized official is Matthew J Narrett .
The authorized official title is Senior Vp And Chief Medical Officer and has the following contact phone number (410) 402-2257.

The CLIA number assigned to this NPI record is 22D0974796 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/10/2023.


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
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4213E00000XPodiatristNo
5363LA2200XNurse PractitionerAdult HealthNo
6363LG0600XNurse PractitionerGerontologyNo
7364SG0600XClinical Nurse SpecialistGerontologyNo
8364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
9207R00000XInternal MedicineYes

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
11427124015OTHERBCBS OF MA
29731610MEDICAIDMASSACHUSETTS
3M17596OTHERBCBS

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.