Revere Medical of Massachusetts, PC
NPI 1336976539 · Internal Medicine Physician · Brockton, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revere Medical of Massachusetts, PC is a Internal Medicine Physician organization in Brockton, MA (NPI 1336976539).
Provider details
- NPI number
- 1336976539
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jane Holden, Billing Manager(615) 672-7122
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 60 East StMethuen, MA 01844-4500Phone: (978) 683-9177Fax: (978) 688-8679
Registry dates
- Enumerated
- 2024-09-19
- Last updated
- 2025-06-14
- Certified
- 2025-05-14
Frequently asked questions
- What is Revere Medical of Massachusetts, PC's NPI number?
- Revere Medical of Massachusetts, PC's National Provider Identifier (NPI) is 1336976539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revere Medical of Massachusetts, PC?
- Revere Medical of Massachusetts, PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revere Medical of Massachusetts, PC located?
- Revere Medical of Massachusetts, PC's practice location on file with NPPES is 1 Pearl St Ste 2100, Brockton, MA 02301-2868.
- What is Revere Medical of Massachusetts, PC's phone number?
- The practice phone number listed in the NPPES registry for Revere Medical of Massachusetts, PC is (508) 897-6040.
- Does Revere Medical of Massachusetts, PC accept Medicare?
- Revere Medical of Massachusetts, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revere Medical of Massachusetts, PC?
- The authorized official listed on Revere Medical of Massachusetts, PC's NPPES record is Jane Holden, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revere Medical of Massachusetts, PC's NPI active?
- Yes — Revere Medical of Massachusetts, PC's NPI (1336976539) is active in the NPPES registry as of the last update on 2025-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.