BRENT H. UPCHURCH MD – NPI #1174505457
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BRENT UPCHURCH is a physician located in NORTH EASTON, MA. NPPES has assigned the NPI number 1174505457 to BRENT UPCHURCH on November 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 13 years ago on Oct 18, 2013. 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 BRENT UPCHURCH below.

NPI Profile for
BRENT H. UPCHURCH

NPI Number
1174505457
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRENT H. UPCHURCH
Credentials
MD
Primary location
31 ROCHE BROTHERS WAY
TWP, SUITE 140
NORTH EASTON, MA 02767
Phone: (508) 894-0400 Fax: (508) 894-0332
Mailing address
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone: (508) 941-7885 Fax: (508) 947-6337
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRENT UPCHURCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA3092411
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
208000000X
- Pediatrics (Primary)
MA 59406

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.