BRIGHTON FAMILY PRACTICE – NPI #1962705251
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

BRIGHTON FAMILY PRACTICE is a provider located in BRIGHTON, MA. NPPES has assigned the NPI number 1962705251 to BRIGHTON FAMILY PRACTICE on December 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIGHTON FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is PREVENTIVE MEDICINE ASSOCIATES. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIGHTON FAMILY PRACTICE below.

NPI Profile for
PREVENTIVE MEDICINE ASSOCIATES

NPI Number
1962705251
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREVENTIVE MEDICINE ASSOCIATES
Doing Business As (dba): BRIGHTON FAMILY PRACTICE
Primary location
9 HENSHAW ST
BRIGHTON, MA 02135-2905
Phone: (617) 782-5800 Fax: (617) 782-5801
Mailing address
Same as primary location
Organization Subpart
Yes - BRIGHTON FAMILY PRACTICE is subpart of another organization.
Authorized Official
MARY DELONG
CREDENTIALING MANAGER
Phone: (413) 222-7711
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.