Provider Type Icon

RANDALL BOCK MD PC NPI 1285893347


NPI Information

NPI: 1285893347
Provider Name: RANDALL BOCK MD PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1660 SOLDIERS FIELD RD # 1021
BRIGHTON, MA
ZIP 02135
Phone: (617) 901-4847
Get Directions

RANDALL BOCK MD PC is a general practice in Brighton, MA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RANDALL BOCK MD PC NPI is 1285893347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1660 SOLDIERS FIELD RD # 1021
BRIGHTON, MA
ZIP 02135-108
Phone: (617) 901-4847
Fax: (781) 286-3076

The provider's authorized official is Randall S Bock .
The authorized official title is Director and has the following contact phone number (617) 982-2865.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 1/26/2023.


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
1208D00000XGeneral Practice51810MASSACHUSETTSYes

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
1J04222OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
26199682MEDICAIDMASSACHUSETTS

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: 4/28/2024

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.