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SIGNATURE HEALTHCARE MEDICAL GROUP INC. NPI 1508804949


NPI Information

NPI: 1508804949
Provider Name: SIGNATURE HEALTHCARE MEDICAL GROUP, INC.

Doing Business As: SIGNATURE MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
680 CENTRE ST
BROCKTON, MA
ZIP 02302
Phone: (508) 941-7000
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SIGNATURE HEALTHCARE MEDICAL GROUP, INC. 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, INC. NPI is 1508804949. 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) 941-7000

The provider's authorized official is Cynthia Marie Colby .
The authorized official title is Director, Managed Care and has the following contact phone number (508) 941-0958.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 3/2/2022.


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
1104100000XSocial WorkerNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RN0300XInternal MedicineNephrologyNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207V00000XObstetrics & GynecologyNo
8207X00000XOrthopaedic SurgeryNo
9208000000XPediatricsNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
11208600000XSurgeryNo
12208800000XUrologyNo
13208M00000XHospitalistNo
14207R00000XInternal Medicine240642MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110072349AMEDICAIDMASSACHUSETTS
2M16402OTHERMASSACHUSETTSBCBS GROUP #

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.