Provider Demographics
NPI:1114740933
Name:BK PRIMARY CARE PLLC
Entity type:Organization
Organization Name:BK PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRIMARY CARE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JONFRANCO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-763-0429
Mailing Address - Street 1:302 SPRUCEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510-3933
Mailing Address - Country:US
Mailing Address - Phone:617-763-0429
Mailing Address - Fax:
Practice Address - Street 1:21 AARONS WAY
Practice Address - Street 2:
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-2596
Practice Address - Country:US
Practice Address - Phone:508-760-2054
Practice Address - Fax:508-760-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care