Provider Type Icon

VILLAGE PEDIATRICS LLC NPI 1649248501


NPI Information

NPI: 1649248501
Provider Name: VILLAGE PEDIATRICS, LLC

Former Legal Business Name: DAVID M. HOWELL, MD DBA VILLAGE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0943570

Address:
ONE PEARL STREET
SUITE 2000
BROCKTON, MA
ZIP 02301
Phone: (508) 894-8577
Get Directions

VILLAGE PEDIATRICS, LLC is a pediatrics in Brockton, 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. VILLAGE PEDIATRICS, LLC NPI is 1649248501. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is David M. Howell, Md Dba Village Pediatrics.

The provider's business location address is:

ONE PEARL STREET
SUITE 2000
BROCKTON, MA
ZIP 02301-865
Phone: (508) 894-8577
Fax: (508) 894-8578

The provider's authorized official is David M Howell .
The authorized official title is Owner and has the following contact phone number (508) 894-8577.

The CLIA number assigned to this NPI record is 22D0943570 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2006 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
1208000000XPediatricsYes
2103T00000XPsychologistX

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
19782877MEDICAIDMASSACHUSETTS

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.