Unknown Individual – Family Medicine Physician, NPI 1982784351

Unknown Individual is a healthcare provider. based in New bedford, Massachusetts. specializing in Family Medicine Physician. They hold a License No. 39192 (MA). The NPI Number for Unknown Individual is 1982784351

Main info

Organization
Inactive
64 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982784351
Phone
(508) 990-8260
Address
140 NAUSET ST
Deactivation Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089956900
Graduation Year
1962 (64 years ago)
PAC ID
4082654454
Group Practice PAC ID
8921233933
Professional Enrollment ID
I20050504001061
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 140, Nauset Street, Mount Pleasant, New Bedford, Bristol County, Massachusetts, 02746, United States

    NEW BEDFORD, MA 027461522

    Phone: (508) 990-8260

    Fax: (508) 990-0347

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921233933View full group profile
NameSpecialtyState
Family PracticeME
Cardiovascular Disease (Cardiology)VA
Nurse PractitionerMA
Internal MedicineTN
-SC
Internal MedicineND
Family PracticeND
-VA
Physician AssistantMA
Internal MedicineOR

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1982784351?
NPI 1982784351 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use New Bedford, Massachusetts as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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