VASANTHA G REDDY


Address: 63 Main St, Brockton, MA 02301-4042
Phone: 5085596699

VASANTHA G REDDY (NPI# 1932209038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932209038
Entity Type Individual
Full Name VASANTHA G REDDY
Credential MD
Practice Address 63 Main St
Brockton
MA 02301-4042
Practice Telephone 5085596699
Practice Fax Number 5085595073
Mailing Telephone 4014653028
Mailing Fax Number 5085595073
Enumeration Date 2006-09-25
Last Update Date 2016-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
59564 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 63 MAIN ST
City BROCKTON
State MA
Zip Code 02301-4042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982602223 Kathleen P Pringle Advanced Practice Midwife 63 Main St, Brockton, MA 02301-4042 2005-07-11
1639770548 Meredith Hansen Social Worker 63 Main St, Brockton, MA 02301-4042 2020-11-06
1699399824 Maya Don Chay Registered Nurse 63 Main St, Brockton, MA 02301-4042 2020-06-03
1588204259 Jennifer Koningisor Social Worker 63 Main St, Brockton, MA 02301-4042 2020-01-10
1679112163 Bianca St. Louis Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-12-31
1245877505 Sarah Beth Blodgett Social Worker 63 Main St, Brockton, MA 02301-4042 2019-12-05
1235780107 Chloe Martin Social Worker 63 Main St, Brockton, MA 02301-4042 2019-09-23
1417505967 Elizabeth Coley Social Worker 63 Main St, Brockton, MA 02301-4042 2019-08-28
1225683758 Rachel Revis Social Worker 63 Main St, Brockton, MA 02301-4042 2019-08-01
1376105130 Johanne Cazeau Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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1831615343 Donna Marie Dugan Counselor South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 2017-08-16
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508098583 Navneet K Pala Internal Medicine 63 Main St, Brockton, MA 02301-4042 2009-08-10
1013019876 Gloria Ibarra Internal Medicine 63 Main St, Brockton, MA 02301-4042 2006-09-02
1588698245 Samar A Choubah Internal Medicine 650 Centre St, Brockton, MA 02302-3308 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447604590 Denise H. Wong Internal Medicine 720 Harrison Ave Ste 8100, Boston, MA 02118-2371 2016-04-14
1518334515 Stephany Khalil Matta Internal Medicine 75 Kneeland St Lbby 5, Boston, MA 02111-1906 2015-08-25
1972982205 Karen Mccloskey Internal Medicine 110 Francis St Ste 6a, Boston, MA 02215-5501 2015-05-19
1568873230 Eric David Nolen-doerr Internal Medicine 720 Harrison Ave Ste 801, Boston, MA 02118-2326 2014-05-15
1790117133 Z Hinedi Md PC Internal Medicine 145 Hampton Rd, Sharon, MA 02067-3203 2013-08-08
1134564859 Sravanthi Madala Internal Medicine 131 Old Road To 9 Acre Cor Ste 700, Concord, MA 01742 2013-05-08
1932462660 Frederick Thomas Murray Internal Medicine 50 Pinehills Dr, Suite 201, Plymouth, MA 02360-7807 2012-06-18
1952662710 Susan Choe Internal Medicine Lahey Outpatient Center @ Danvers, 480 Maple Street 1st Fl, Danvers, MA 01923 2012-06-07
1710243621 Michele A Gortakowski Internal Medicine 3300 Main St Fl 3, Springfield, MA 01107-1112 2012-04-04
1750678520 Shayhira Suazo Herrera Internal Medicine 8 Isabella Street, Holyoke Medical Center - Endocrinology & Diabetes Ctr., Holyoke, MA 01040 2011-06-30
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Competitor

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City BROCKTON
Zip Code 02301

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Dataset Information

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.

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