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Contact Information

BROCKTON HOSPITAL SPECIALTY PHYSICIAN GROUP
680 CENTRE ST
BROCKTON, MA02302-3308
 Phone: 508-941-7062
 Fax: 508-941-6337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hospitalist

208M00000X
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BROCKTON HOSPITAL SPECIALTY PHYSICIAN GROUP · (Female)

NPI Number 1174560304
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2006
Last updated 12/22/2009 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9757350
  • MA Other M19115 BCBS GROUP #
Hospital affiliation(s) Not Available
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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