Individual provider · Type 1 NPI
Kyle Deerwester, MD
Pediatric Critical Care Medicine Physician · Brockton, MA
Practice location
680 Centre St
Brockton, MA 02302-3308
Fax (508) 941-6268
Other practice locations
- 5841 S Maryland Ave # MC1145, Chicago, IL 60637-1443 · (773) 702-3020
- 1085 N Main St, Providence, RI 02904-5719 · (401) 415-4200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Critical Care Medicine Physician Primary | 2080P0203X | 1019638 (MA) |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 036.159618 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD21241 (RI) |
Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…
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About NPI 1134624018
Kyle Deerwester, MD's National Provider Identifier is 1134624018, issued on Mar 24, 2018. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Brockton, MA. The record was last updated on Apr 10, 2026.