Brockton Hospital Specialty Physician Group in Brockton - Emergency Medicine
Brockton Hospital Specialty Physician Group - NPI 1174560304
Brockton Hospital Specialty Physician Group is a Emergency Medicine in Brockton, Massachusetts. Brockton Hospital Specialty Physician Group practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Brockton Hospital Specialty Physician Group is 1174560304. The last update date is 2009-12-22.
Brockton Hospital Specialty Physician Group's current location address is 680 Centre St, Brockton, Massachusetts. You can contact this provider via phone number 5089417062 and fax number 5089416337. The mailing address for Brockton Hospital Specialty Physician Group is 680 Centre St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brockton Hospital Specialty Physician Group |
|---|---|
| Address | 680 Centre St, Brockton, Massachusetts |
| Phone Number | 5089417062 |
| Fax Number | 5089416337 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Wallace C. Eugene |
| Telephone Number | 5089417062 |
NPI Number Detail
| NPI Number | 1174560304 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2009-12-22 |
Provider Mailing Address Detail
| Address | 680 Centre St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23023308 |
| Phone Number | 5089417062 |
| Fax Number | 5089416337 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9757350 | MA | -- | |
| M19115 | MA | BCBS GROUP # |
Post Comment/ Review Below
What is the unique identifier code issued to Brockton Hospital Specialty Physician Group by the Centers for Medicare & Medicaid Services (CMS)?
The Brockton Hospital Specialty Physician Group has been assigned the NPI (National Provider Identifier) 1174560304. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Brockton Hospital Specialty Physician Group's physical address?
The Brockton Hospital Specialty Physician Group is physically located at 680 Centre St, in the city of Brockton, MA, with the postal code 23023308.
What is Brockton Hospital Specialty Physician Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brockton Hospital Specialty Physician Group is Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207P00000X.
On what date did Brockton Hospital Specialty Physician Group receive its 1174560304 assignment from the Centers for Medicare & Medicaid Services?
The Brockton Hospital Specialty Physician Group was assigned its 1174560304 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Brockton Hospital Specialty Physician Group most recently updated or refreshed?
The details pertaining to the Brockton Hospital Specialty Physician Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-22.