Brent H Upchurch is a Pediatrics in Brockton, Massachusetts. Brent H Upchurch practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Brent H Upchurch is 1174505457. The last update date is 2013-10-18.
Brent H Upchurch's current location address is 680 Centre St, Brockton, Massachusetts. You can contact this provider via phone number 5089417885 and fax number 5089476337. The mailing address for Brent H Upchurch is 680 Centre St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent H Upchurch |
|---|---|
| Address | 680 Centre St, Brockton, Massachusetts |
| Phone Number | 5089417885 |
| Fax Number | 5089476337 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174505457 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2013-10-18 |
Provider Mailing Address Detail
| Address | 680 Centre St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23023308 |
| Phone Number | 5089417885 |
| Fax Number | 5089476337 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 59406 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3092411 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brent H Upchurch by the Centers for Medicare & Medicaid Services (CMS)?
The Brent H Upchurch has been assigned the NPI (National Provider Identifier) 1174505457. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Brent H Upchurch is located?
The Brent H Upchurch is situated at the following address: 680 Centre St, Brockton, MA, 23023308.
What is Brent H Upchurch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brent H Upchurch is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
When was the Brent H Upchurch's 1174505457 issued?
The Brent H Upchurch's 1174505457 was issued on 2005-11-14.
When was the information regarding Brent H Upchurch most recently updated?
The details pertaining to the Brent H Upchurch, including its address, specialty, and other relevant information, were last refreshed on 2013-10-18.