MEDICARE: NEW ENGLAND REGIONAL HEALTHCARE AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS0010X	Sports Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1477362663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ENGLAND REGIONAL HEALTHCARE AND WELLNESS

Provider Business Mailing Address
First Line	:	3 WALTER ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-1031
Country	:	US
Telephone Number	:	774-214-2970
Fax Number	:	508-519-0577

Provider Business Practice Location Address
First Line	:	35 HARVARD ST STE 104
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-2828
Country	:	US
Telephone Number	:	774-214-2970
Fax Number	:	508-519-0057

Authorized Official
Title or Position	:	OWNER
Name	:	GRANT PIERRE
Credential	:	MD
Telephone Number	:	512-909-2966

Provider Enumeration Date	:	01/02/2025
Last Update Date	:	02/20/2026

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Directions to “NEW ENGLAND REGIONAL HEALTHCARE AND WELLNESS ” Practice Location

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