RENAISSANCE PRIMARY CARE, LLC – NPI #1649729021
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

RENAISSANCE PRIMARY CARE, LLC is a provider located in SOUTHBRIDGE, MA. NPPES has assigned the NPI number 1649729021 to RENAISSANCE PRIMARY CARE, LLC on September 27, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jul 15, 2025. 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 RENAISSANCE PRIMARY CARE, LLC below.

NPI Profile for
RENAISSANCE PRIMARY CARE, LLC

NPI Number
1649729021
Enumeration Date

(more than 9 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
RENAISSANCE PRIMARY CARE, LLC
Primary location
11-15 SANDERSDALE ROAD
SOUTHBRIDGE, MA 01550
Phone: (774) 420-2311 Fax: (508) 519-0763
1 Other location(s):
112 Westfield St
West Springfield, MA 01089-2577
Phone: (774) 340-8791
Fax: (508) 519-0763
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES MANUEL
PSYCHOLOGIST
Phone: (774) 420-2311
Updated
Certification Date
Jul 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.