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BRAMBLEBUSH PEDIATRICS LLP NPI 1669776993


NPI Information

NPI: 1669776993
Provider Name: BRAMBLEBUSH PEDIATRICS LLP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0682794

Address:
15 BRAMBLEBUSH PARK
FALMOUTH, MA
ZIP 02540
Phone: (508) 548-6969
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BRAMBLEBUSH PEDIATRICS LLP is a pediatrics in Falmouth, 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. BRAMBLEBUSH PEDIATRICS LLP NPI is 1669776993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 BRAMBLEBUSH PARK
FALMOUTH, MA
ZIP 02540-325
Phone: (508) 548-6969
Fax: (508) 540-2793

The provider's authorized official is Kira Lyndsey Grant .
The authorized official title is Managing Partner and has the following contact phone number (508) 548-6969.

The CLIA number assigned to this NPI record is 22D0682794 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2010 and was last updated on 1/26/2017.


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
1208000000XPediatrics232244MASSACHUSETTSYes

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
19777369MEDICAIDMASSACHUSETTS

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

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