BROCKTON CARDIOLOGY ASSOCIATES PC NPI 1790874352

NPI Information

NPI: 1790874352
Provider Name: BROCKTON CARDIOLOGY ASSOCIATES, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
210 QUINCY AVE
BROCKTON, MA
ZIP 02302
Phone: (508) 583-6262
Get Directions

BROCKTON CARDIOLOGY ASSOCIATES, PC is a cardiovascular disease internal medicine in Brockton, MA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BROCKTON CARDIOLOGY ASSOCIATES, PC NPI is 1790874352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 QUINCY AVE
BROCKTON, MA
ZIP 02302-862
Phone: (508) 583-6262
Fax: (508) 583-1783

The provider's authorized official is Andrew L Kriegel .
The authorized official title is President and has the following contact phone number (508) 583-6262.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25227	OTHER	MASSACHUSETTS	UNITED GROUP #
2	600871	OTHER	MASSACHUSETTS	TUFTS GROUP #
3	9769153	MEDICAID	MASSACHUSETTS
4	M15659	OTHER	MASSACHUSETTS	BCBS GROUP #
5	122415	OTHER	MASSACHUSETTS	AETNA 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

NPI Synchronization or Removal

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