Provider Type Icon

CENTRE PEDIATRIC ASSOCIATES PC NPI 1336212422


NPI Information

NPI: 1336212422
Provider Name: CENTRE PEDIATRIC ASSOCIATES PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0682738

Address:
1 BROOKLINE PL
SUITE 327
BROOKLINE, MA
ZIP 02445
Phone: (617) 735-8585
Get Directions

CENTRE PEDIATRIC ASSOCIATES PC is a pediatrics in Brookline, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CENTRE PEDIATRIC ASSOCIATES PC NPI is 1336212422. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 BROOKLINE PL
SUITE 327
BROOKLINE, MA
ZIP 02445-224
Phone: (617) 735-8585
Fax: (617) 232-0572

The provider's authorized official is Bruce Willard Bunnell .
The authorized official title is President and has the following contact phone number (617) 735-8585.

The CLIA number assigned to this NPI record is 22D0682738 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsNAYes

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
19767312MEDICAIDMASSACHUSETTS
2711716OTHERMASSACHUSETTSTUFTS
392057OTHERMASSACHUSETTSAETNA USHEALTHCARE
4M14606OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD

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.