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

Wellspring Physician, PC - MA

Organization Allergy & Immunology Physician · NPI 1265971105

Wellspring Physician, PC - MA is an Allergy & Immunology Physician in Boston, Massachusetts. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4
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

84 State St
Boston, MA 02109-2202
Phone: (877) 872-0370
Fax: (855) 908-2520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 N Washington Ave, Bryan, TX 77803-5368 — (979) 431-5664

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1265971105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Sowerwine — Cmo · (979) 221-1398
Other names Wellspring Physician, P.C. (Ma)
NPI enumeratedFebruary 13, 2017
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address4359 Roans Chapel Rd, College Station, TX 77845-4096

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