THOMAS DEVRIES (NPI# 1518353820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518353820 |
| Entity Type | Individual |
| Full Name | THOMAS DEVRIES |
| Practice Address |
110 Liberty St Ste 1a Brockton MA 02301 |
| Mailing Address |
110 Liberty St Ste 1a Brockton MA 02301-5674 |
| Practice Telephone | 5085650232 |
| Practice Fax Number | 5088940757 |
| Mailing Telephone | 5085650232 |
| Mailing Fax Number | 5088940757 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 280645 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 67371 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 5747 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Liberty St Ste 1a, Brockton, MA 02301 | 5085650232 | 5088940757 |
| Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 537920001 | 6082638557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912247008 | Thomas Todd Devries | Physician Assistant | 2650 Ridge Ave Ste 4210, Evanston, IL 60201-1700 | 2013-02-26 |
| 1730227257 | Thomas Michael Devries | Chiropractor | 491 John Young Way, Suite 300, Exton, PA 19341-2567 | 2007-02-05 |
| Street Address |
110 LIBERTY ST STE 1A |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518436153 | Marybeth Adams-khoury | Pediatrics | 63 Main St Fl 3, Brockton, MA 02301-4042 | 2018-11-13 |
| 1871768291 | Kavita Gupta-shah | Pediatrics | 63 Maing Street, Brockton, MA 02301-4042 | 2008-04-26 |
| 1548374713 | Doris M. Kim | Pediatrics | 670 Centre Street, Brockton, MA 02302 | 2006-08-18 |
| 1023037454 | Sharon M Parnes | Pediatrics | 830 Oak St Ste 220e, Brockton, MA 02301-1191 | 2006-07-18 |
| 1134171671 | Alan Bulotsky, Md & Associates, PC | Pediatrics | 201 Quincy St, Brockton, MA 02302-2926 | 2006-05-16 |
| 1790763324 | David Alvarez-morales | Pediatrics | 179 Quincy St, Brockton, MA 02302-2959 | 2006-01-04 |
| 1164412839 | Howard H Kay | Pediatrics | 65 Libby St, Brockton, MA 02302-2949 | 2005-10-25 |
| 1427042969 | Joseph W Dullea | Pediatrics | 340 Pleasant St, Brockton, MA 02301-3236 | 2005-09-09 |
| 1639178502 | David S. Chung | Pediatrics | 370 Oak St, Suite A, Brockton, MA 02301-1341 | 2005-07-21 |
| 1508351784 | Cedar Hill Pediatrics LLC | Pediatrics | 1324 Belmont St Ste 105, Brockton, MA 02301-4435 | 2018-06-28 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.