Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revere Medical of Massachusetts, PC

Organization Internal Medicine Physician · NPI 1336976539

Revere Medical of Massachusetts, PC is an Internal Medicine Physician in Brockton, Massachusetts. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Pearl St Ste 2100
Brockton, MA 02301-2868
Phone: (508) 897-6040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 60 East St, Methuen, MA 01844-4500 — (978) 683-9177

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1336976539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Holden — Billing Manager · (615) 672-7122
NPI enumeratedSeptember 19, 2024
Last updated in NPPESJune 14, 2025
Certification dateMay 14, 2025
Mailing address40 Burton Hills Blvd Ste 370, Nashville, TN 37215-6287

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