PATRIOT PEDIATRICS NPI 1710194410

NPI Information

  • NPI: 1710194410
  • Provider Name: PATRIOT PEDIATRICS
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 22D0909013
  • Address: 74 LOOMIS ST
    BEDFORD, MA
    ZIP 01730
  • Phone: (781) 674-2900

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NPI Details

PATRIOT PEDIATRICS is an adolescent medicine pediatrics in Bedford, MA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PATRIOT PEDIATRICS NPI is 1710194410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

74 LOOMIS ST
BEDFORD, MA
ZIP 01730-248
Phone: (781) 674-2900

The provider's authorized official is Francine Hennessey .
The authorized official title is Owner and has the following contact phone number (781) 674-2900.

The CLIA number assigned to this NPI record is 22D0909013 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/16/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1150518OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2070324OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3718556OTHERMASSACHUSETTSTUFTS HEALTH PLAN
41578700OTHERMASSACHUSETTSTUFTS HEALTH PLAN

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: 11/21/2025

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