Innovative Medicine, PC
Innovative Medicine, PC is a healthcare organization registered as Nephrology Physician in Roxbury Crossing, MA, holding Type 2 (organization) NPI 1154653921 since 2010. The authorized official on file is Gerald Bousquet, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154653921 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Innovative Medicine, PC |
| Practice address | 70 PARKER HILL AVE, SUITE 3406, Roxbury Crossing, MA, 02120 |
| Phone | 6172322003 |
| Fax | 6179750768 |
| Enumeration date | 2010-02-04 |
| Last updated in NPPES | 2010-02-04 |
Authorized official
| Name | Gerald Bousquet |
|---|---|
| Title | President |
| Phone | 6172322003 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RN0300X | Nephrology Physician | Primary | — | — |
Copy-ready billing details
Provider: Innovative Medicine, PC NPI: 1154653921 Taxonomy: 207RN0300X (Nephrology Physician) Address: 70 PARKER HILL AVE, SUITE 3406, Roxbury Crossing, MA, 02120
Verify this record
Cross-check NPI 1154653921 against the authoritative CMS record: view Innovative Medicine, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-04.