Provider Demographics
NPI:1295772309
Name:MAYERS, FELIX U (MD)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:U
Last Name:MAYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:680 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-3308
Mailing Address - Country:US
Mailing Address - Phone:508-941-7268
Mailing Address - Fax:508-941-6156
Practice Address - Street 1:130 QUINCY AVE
Practice Address - Street 2:BROCTON HOSPITAL
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-2803
Practice Address - Country:US
Practice Address - Phone:508-941-7268
Practice Address - Fax:508-941-7850
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA155340207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3182797Medicaid
MA3182797Medicaid
MAA2865902Medicare PIN