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

Brent Medeiros

Individual provider Nurse Practitioner · NPI 1598362311

Brent Medeiros is a Nurse Practitioner in Fall River, Massachusetts. Qualified in 2020, 6 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
6
Licensed in
MA, RI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1030 President Ave Rm 304
Fall River, MA 02720-5923
Phone: (508) 235-6427
Fax: (508) 235-6654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 363 Highland Ave, Fall River, MA 02720-3700 — (508) 973-7000
  • 22 Hurst Ln, Tiverton, RI 02878-2312 — (401) 624-4403

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2293550 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN02417 (RI)

Record details

NPI number1598362311
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing address226 Beckwith St, Cranston, RI 02910-1851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fall River