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Berdiaeffe Etienne, RN, BSN
NPI 1528717162 · General Practice Physician · Boston, MA
Berdiaeffe Etienne, RN, BSN is a General Practice Physician provider in Boston, MA (NPI 1528717162).
Provider details
- NPI number
- 1528717162
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- RN, BSN
- Sex
- Female
- Sole proprietor
- No
- License
- 20142319 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
632 Blue Hill Ave
Boston, MA 02121-3213
Phone: (617) 825-3400
Street-level locationGet directions
Mailing address
148 Hubbard Ave
Brockton, MA 02301-7040
Registry dates
- Enumerated
- 2022-03-21
- Last updated
- 2022-03-21
- Certified
- 2022-03-21
Frequently asked questions
- What is Berdiaeffe Etienne's NPI number?
- Berdiaeffe Etienne's National Provider Identifier (NPI) is 1528717162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Berdiaeffe Etienne's specialty?
- Berdiaeffe Etienne is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Berdiaeffe Etienne located?
- Berdiaeffe Etienne's practice location on file with NPPES is 632 Blue Hill Ave, Boston, MA 02121-3213.
- What is Berdiaeffe Etienne's phone number?
- The practice phone number listed in the NPPES registry for Berdiaeffe Etienne is (617) 825-3400.
- Is Berdiaeffe Etienne's NPI active?
- Yes — Berdiaeffe Etienne's NPI (1528717162) is active in the NPPES registry as of the last update on 2022-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.