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Contact Information

JACOB E MOORE, MD
GSMC - EMERGENCY DEPARTMENT
235 NORTH PEARL ST
BROCKTON, MA02301
 Phone: 508-427-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Bariatric Medicine

207RB0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACOB E MOORE · (Male)

NPI Number 1154617058
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2011
Last updated 05/12/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 125-059970
  • MA License # 258476
  • MA License # 90000429
Hospital affiliation(s)
  • GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    235 NORTH PEARL STREET
    BROCKTON, MA 02301
  • ST ELIZABETH'S MEDICAL CENTER - (Acute Care)
    736 CAMBRIDGE STREET
    BRIGHTON, MA 02135
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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