Healthcare Provider Details

I. General information

NPI: 1811998727
Provider Name (Legal Business Name): SCOTT D DREIKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 03/11/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 COMMERCE BLVD SUITE 301
MIDDLEBORO MA
02346-1030
US

IV. Provider business mailing address

BMCHS PROVIDER ENROLLMENT 960 MASSACHUSETTS AVE FLR 2
BOSTON MA
02118
US

V. Phone/Fax

Practice location:
  • Phone: 774-213-0380
  • Fax: 774-213-0389
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number76530
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: