Provider Type Icon

SIGNATURE HEALTHCARE MEDICAL GROUP NPI 1063655017


NPI Information

NPI: 1063655017
Provider Name: SIGNATURE HEALTHCARE MEDICAL GROUP

Doing Business As: SIGNATURE MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
680 CENTRE ST
BROCKTON, MA
ZIP 02302
Phone: (508) 941-7007
Get Directions

SIGNATURE HEALTHCARE MEDICAL GROUP is an internal medicine in Brockton, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SIGNATURE HEALTHCARE MEDICAL GROUP NPI is 1063655017. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Signature Medical Group.

The provider's business location address is:

680 CENTRE ST
BROCKTON, MA
ZIP 02302-308
Phone: (508) 941-7007
Fax: (508) 941-6338

The provider's authorized official is Eugene Wallace .
The authorized official title is Cfo and has the following contact phone number (508) 941-7007.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/7/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RG0300XInternal MedicineGeriatric MedicineNo
6207RI0200XInternal MedicineInfectious DiseaseNo
7207RN0300XInternal MedicineNephrologyNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9207V00000XObstetrics & GynecologyNo
10207X00000XOrthopaedic SurgeryNo
11208000000XPediatricsNo
122084P0800XPsychiatry & NeurologyPsychiatryNo
13208600000XSurgeryNo
14208M00000XHospitalistNo
15207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.