| Brockton Neighborhood Health Center | |
|
63 Main St Brockton MA 02301-4042 | |
| (508) 559-6699 | |
| (508) 559-5073 |
| Full Name | Brockton Neighborhood Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 63 Main St, Brockton, Massachusetts |
| Authorized Official Name and Position | Melvin Benson (CFO) |
| Authorized Official Contact | 5088943642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brockton Neighborhood Health Center 63 Main St Brockton MA 02301-4042 Ph: (508) 559-6699 | Brockton Neighborhood Health Center 63 Main St Brockton MA 02301-4042 Ph: (508) 559-6699 |
| NPI Number | 1225085319 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 05/03/2018 |
| Medicare PECOS PAC ID | 3870491699 |
|---|---|
| Medicare Enrollment ID | O20031230000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225085319 | NPI | - | NPPES |
| 0192330 | Other | MA | UNITED CARE |
| 0006827 | Other | MA | NHP |
| M18107 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1309927 | Other | MA | MASSHEALTH |
| 000000021197 | Medicaid | MA | |
| 606260 | Other | MA | 606260 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4896 (Massachusetts) | Primary |
| Provider Name | Azmat Maskati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770530792 PECOS PAC ID: 2769380518 Enrollment ID: I20031230000667 |
| Provider Name | Barbara Wax |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649207507 PECOS PAC ID: 9931093069 Enrollment ID: I20040210000988 |
| Provider Name | Marie Lourdes C Francoeur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497702120 PECOS PAC ID: 5092708388 Enrollment ID: I20040405000137 |
| Provider Name | Amy Kogut |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306066022 PECOS PAC ID: 0143204495 Enrollment ID: I20040615001169 |
| Provider Name | Christine M Murcott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093714909 PECOS PAC ID: 0648241067 Enrollment ID: I20040802000178 |
| Provider Name | Lawrence E Weene |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346218963 PECOS PAC ID: 9335110196 Enrollment ID: I20040804001057 |
| Provider Name | Douglass L Bibuld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568590487 PECOS PAC ID: 1153394663 Enrollment ID: I20040813000552 |
| Provider Name | Megan T Sandel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083697429 PECOS PAC ID: 9436128139 Enrollment ID: I20040929000804 |
| Provider Name | Janemarie N Dolan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194736017 PECOS PAC ID: 7315998028 Enrollment ID: I20050209000858 |
| Provider Name | Lisa B Melville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790804433 PECOS PAC ID: 8820041437 Enrollment ID: I20050223000664 |
| Provider Name | Benjamin D Lightfoot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497749584 PECOS PAC ID: 5193768836 Enrollment ID: I20050603000764 |
| Provider Name | Martha Ayano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205847050 PECOS PAC ID: 0749226579 Enrollment ID: I20050701000663 |
| Provider Name | Madeline Figueroa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316986409 PECOS PAC ID: 9638106255 Enrollment ID: I20050725001073 |
| Provider Name | Madeleine Mbuyamba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063446144 PECOS PAC ID: 3375577208 Enrollment ID: I20050921000092 |
| Provider Name | Susan M Wente |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659356269 PECOS PAC ID: 2365461555 Enrollment ID: I20051116000980 |
| Provider Name | Vasantha G Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932209038 PECOS PAC ID: 4486662897 Enrollment ID: I20060327000700 |
| Provider Name | Sasikala Sannapareddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104870781 PECOS PAC ID: 9335151281 Enrollment ID: I20060615000161 |
| Provider Name | Vikas Merchia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811966948 PECOS PAC ID: 3274633276 Enrollment ID: I20070705000015 |
| Provider Name | Eleanor Diethelm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497806343 PECOS PAC ID: 1951481258 Enrollment ID: I20071227000362 |
| Provider Name | Linda Gabruk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629129366 PECOS PAC ID: 5597847889 Enrollment ID: I20080125000061 |
| Provider Name | Peter J Liberto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396730453 PECOS PAC ID: 7517971484 Enrollment ID: I20080529000270 |
| Provider Name | Lesli E Warren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538327390 PECOS PAC ID: 4284705401 Enrollment ID: I20080616000682 |
| Provider Name | Muhammad A Mumtaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902841927 PECOS PAC ID: 3779656509 Enrollment ID: I20080726000010 |
| Provider Name | Shabana Naz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780699975 PECOS PAC ID: 1951478239 Enrollment ID: I20080929000480 |
| Provider Name | Lauren S. Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316193634 PECOS PAC ID: 4587722038 Enrollment ID: I20090124000075 |
| Provider Name | Joseph Panerio-langer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831233527 PECOS PAC ID: 4385798602 Enrollment ID: I20090820000246 |
| Provider Name | Maria Celli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548405293 PECOS PAC ID: 6305987645 Enrollment ID: I20100108000044 |
| Provider Name | Kathleen P Pringle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982602223 PECOS PAC ID: 2567533938 Enrollment ID: I20100607000721 |
| Provider Name | Daniel Feleke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598905630 PECOS PAC ID: 2062543077 Enrollment ID: I20100707000539 |
| Provider Name | Cassandra Etienne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073830816 PECOS PAC ID: 1759574833 Enrollment ID: I20101021000371 |
| Provider Name | Vida Mia Ruiz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154645992 PECOS PAC ID: 1951582535 Enrollment ID: I20110302000571 |
| Provider Name | Margot N Tang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962664193 PECOS PAC ID: 1456522895 Enrollment ID: I20110915000611 |
| Provider Name | Gregory W Woo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093910788 PECOS PAC ID: 0547420325 Enrollment ID: I20120402000605 |
| Provider Name | Claudia M Sousa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649418484 PECOS PAC ID: 9739342874 Enrollment ID: I20120529000493 |
| Provider Name | Andrea Haffty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679842371 PECOS PAC ID: 7911162706 Enrollment ID: I20120628000461 |
| Provider Name | Syed H Muqqadus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124259775 PECOS PAC ID: 3678721768 Enrollment ID: I20120914000299 |
| Provider Name | Nikhil Gohokar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700028149 PECOS PAC ID: 5991953093 Enrollment ID: I20120914000363 |
| Provider Name | Kara D Govoni |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457616880 PECOS PAC ID: 5294983805 Enrollment ID: I20120924000202 |
| Provider Name | Rachel H Robbins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528293974 PECOS PAC ID: 4587813985 Enrollment ID: I20120928000334 |
| Provider Name | Thanh Trang Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023188364 PECOS PAC ID: 7012168032 Enrollment ID: I20121121000111 |
| Provider Name | Radhika Angara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275822280 PECOS PAC ID: 8022253871 Enrollment ID: I20130326000550 |
| Provider Name | Zoila A Perez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356689582 PECOS PAC ID: 3375783889 Enrollment ID: I20130705000214 |
| Provider Name | Henry E Woodcome |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861450181 PECOS PAC ID: 0648163758 Enrollment ID: I20130917000481 |
| Provider Name | Tetyana Tarnavsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689807893 PECOS PAC ID: 2466686662 Enrollment ID: I20131001000204 |
| Provider Name | Rui A Soares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720306376 PECOS PAC ID: 9537398367 Enrollment ID: I20140127001331 |
| Provider Name | Ruth Tetteh-lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447686316 PECOS PAC ID: 7618100652 Enrollment ID: I20140429000694 |
| Provider Name | Francesca M Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114349529 PECOS PAC ID: 4789807819 Enrollment ID: I20140519001239 |
| Provider Name | Liljana L Lora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932541190 PECOS PAC ID: 5395960546 Enrollment ID: I20140702001947 |
| Provider Name | Lucy M Lomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184854432 PECOS PAC ID: 5496970295 Enrollment ID: I20140711000987 |
| Provider Name | Sunny R Chavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154619682 PECOS PAC ID: 8527287341 Enrollment ID: I20140910000069 |
| Provider Name | Rahana Aju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861770299 PECOS PAC ID: 5991926636 Enrollment ID: I20141022002688 |
| Provider Name | Gvantsa Didebulidze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730474644 PECOS PAC ID: 0143441758 Enrollment ID: I20141024000170 |
| Provider Name | Shruti S Pathak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124301304 PECOS PAC ID: 9931321908 Enrollment ID: I20141106000463 |
| Provider Name | Kaitlin Thomas-frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639578792 PECOS PAC ID: 6103149158 Enrollment ID: I20141223000824 |
| Provider Name | France Belizaire Augustave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760764781 PECOS PAC ID: 2365769585 Enrollment ID: I20150327002080 |
| Provider Name | Brenda J Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972901569 PECOS PAC ID: 1557682366 Enrollment ID: I20150605000051 |
| Provider Name | Peggy Mentor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023006525 PECOS PAC ID: 0941215214 Enrollment ID: I20150826000297 |
| Provider Name | Claudia G Fontes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295103539 PECOS PAC ID: 6709186174 Enrollment ID: I20151208001640 |
| Provider Name | Taidine Lopes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871889550 PECOS PAC ID: 4587809124 Enrollment ID: I20160108000054 |
| Provider Name | Abby Brubaker Crawford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003220880 PECOS PAC ID: 9739322256 Enrollment ID: I20160126001598 |
| Provider Name | Fidelito Gabriel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619919909 PECOS PAC ID: 0345544078 Enrollment ID: I20160201001490 |
| Provider Name | Kelly M Nagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629447735 PECOS PAC ID: 6406151141 Enrollment ID: I20160218000277 |
| Provider Name | Stencia Sickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306202924 PECOS PAC ID: 6002114022 Enrollment ID: I20160407000908 |
| Provider Name | Rakhi Mehrotra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356632558 PECOS PAC ID: 2769775105 Enrollment ID: I20160722001949 |
| Provider Name | Valerie R. Adjorlolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831575661 PECOS PAC ID: 4385952837 Enrollment ID: I20160727002716 |
| Provider Name | Thomas Chang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548350549 PECOS PAC ID: 1759676893 Enrollment ID: I20160829000654 |
| Provider Name | Kelly L Piontek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093064370 PECOS PAC ID: 6406134451 Enrollment ID: I20161026002841 |
| Provider Name | Madeleine Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922552934 PECOS PAC ID: 2062790629 Enrollment ID: I20161102000685 |
| Provider Name | Rachel M Hardenstine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144667270 PECOS PAC ID: 3779700703 Enrollment ID: I20161108001094 |
| Provider Name | Michelle T Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043764509 PECOS PAC ID: 6901185362 Enrollment ID: I20161108001630 |
| Provider Name | Paula B Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366999575 PECOS PAC ID: 2567741192 Enrollment ID: I20161122001231 |
| Provider Name | Anika Tene Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114119732 PECOS PAC ID: 1153464672 Enrollment ID: I20161128000176 |
| Provider Name | Matthew S Ellam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083006696 PECOS PAC ID: 7012299522 Enrollment ID: I20170118000782 |
| Provider Name | Elizabeth B. Conner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437691144 PECOS PAC ID: 8123300084 Enrollment ID: I20170130000522 |
| Provider Name | Tykeia C Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497209043 PECOS PAC ID: 7315220589 Enrollment ID: I20170214000471 |
| Provider Name | Mary P Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083065858 PECOS PAC ID: 3072897099 Enrollment ID: I20170310000848 |
| Provider Name | Linda B Le |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437699394 PECOS PAC ID: 2961789110 Enrollment ID: I20170426001180 |
| Provider Name | Michael P Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629501366 PECOS PAC ID: 1052688330 Enrollment ID: I20170517002662 |
| Provider Name | Sarah B Davidson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780117358 PECOS PAC ID: 5991073090 Enrollment ID: I20170614000497 |
| Provider Name | Thomas I Ogbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124551387 PECOS PAC ID: 7719255603 Enrollment ID: I20170619000319 |
| Provider Name | Ryan M Lydon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669813085 PECOS PAC ID: 9133410038 Enrollment ID: I20170905001355 |
| Provider Name | Michael P Cianca |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649798620 PECOS PAC ID: 0941573034 Enrollment ID: I20170912002668 |
| Provider Name | Sasha K Gittens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235543794 PECOS PAC ID: 5193946473 Enrollment ID: I20170925001469 |
| Provider Name | Nongnooch Poowanawittayakom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326302761 PECOS PAC ID: 8729396858 Enrollment ID: I20170928000292 |
| Provider Name | Ziad Fersan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881941540 PECOS PAC ID: 0941575120 Enrollment ID: I20171014000463 |
| Provider Name | Parnika Prashasti Saxena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033464177 PECOS PAC ID: 4183990674 Enrollment ID: I20171028000098 |
| Provider Name | Ariadne Scott Iriarte |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023458411 PECOS PAC ID: 9436453461 Enrollment ID: I20171109002549 |
| Provider Name | Rachel N Berkowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417332214 PECOS PAC ID: 6204125180 Enrollment ID: I20180201000948 |
| Provider Name | Brian S Kapfunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711711 PECOS PAC ID: 5092078345 Enrollment ID: I20180419000000 |
| Provider Name | Ana Sofia Barber De Brito |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457862070 PECOS PAC ID: 7113272378 Enrollment ID: I20180612003107 |
| Provider Name | Lilizita Monteiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811440506 PECOS PAC ID: 6103173984 Enrollment ID: I20180725001305 |
| Provider Name | Angela M Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619106135 PECOS PAC ID: 8426301276 Enrollment ID: I20181025000999 |
| Provider Name | Vidushi Shanker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659754596 PECOS PAC ID: 9537403530 Enrollment ID: I20181203000615 |
| Provider Name | Sarah R Federoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952883274 PECOS PAC ID: 2365786282 Enrollment ID: I20181204002492 |
| Provider Name | Roberta Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164809323 PECOS PAC ID: 4082952072 Enrollment ID: I20190218001562 |
| Provider Name | Marybeth Adams-khoury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518436153 PECOS PAC ID: 0042559874 Enrollment ID: I20190222000346 |
| Provider Name | Korin J Dayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053882712 PECOS PAC ID: 1254671068 Enrollment ID: I20190313003120 |
| Provider Name | Danielle Marie Bourque |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831655059 PECOS PAC ID: 6204176894 Enrollment ID: I20190318002647 |
| Provider Name | Susane A. Dickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194804054 PECOS PAC ID: 4385796002 Enrollment ID: I20190417000656 |
| Provider Name | Muayna Y Elsir |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427518307 PECOS PAC ID: 8921331471 Enrollment ID: I20190614001816 |
| Provider Name | Jean T Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336162528 PECOS PAC ID: 1951638873 Enrollment ID: I20190814003032 |
| Provider Name | Lisa Kelley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497214043 PECOS PAC ID: 7315277654 Enrollment ID: I20190930000453 |
| Provider Name | Maryam Yeganegi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659759710 PECOS PAC ID: 0345553368 Enrollment ID: I20191024002184 |
| Provider Name | Emily K Slosberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083077366 PECOS PAC ID: 5193057057 Enrollment ID: I20191025000092 |
| Provider Name | Madhur Raj Kuckreja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386095305 PECOS PAC ID: 8729310388 Enrollment ID: I20191031000244 |
| Provider Name | Aija R Leimanis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902137573 PECOS PAC ID: 3072798347 Enrollment ID: I20200107000535 |
| Provider Name | Elizabeth M Currier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295202851 PECOS PAC ID: 8921434598 Enrollment ID: I20200130002717 |
| Provider Name | Sarah B Blodgett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245877505 PECOS PAC ID: 8123454535 Enrollment ID: I20200203002411 |
| Provider Name | Tiffany R Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295261360 PECOS PAC ID: 4880023027 Enrollment ID: I20200409000195 |
| Provider Name | Bianca St Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679112163 PECOS PAC ID: 7911336102 Enrollment ID: I20200409002377 |
| Provider Name | Olivia F Trieber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558923508 PECOS PAC ID: 8325469091 Enrollment ID: I20200604001834 |
| Provider Name | Lyndsay Canwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861041071 PECOS PAC ID: 0941625776 Enrollment ID: I20200810003500 |
| Provider Name | Catherine A Schomer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144276916 PECOS PAC ID: 6800214826 Enrollment ID: I20200908002051 |
| Provider Name | Linda Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659740132 PECOS PAC ID: 3577983733 Enrollment ID: I20201009000884 |
| Provider Name | Rohit P Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760009476 PECOS PAC ID: 9931514650 Enrollment ID: I20210210001914 |
| Provider Name | Maya D Chay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699399824 PECOS PAC ID: 3678988300 Enrollment ID: I20210210002267 |
| Provider Name | Paurry C Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548769748 PECOS PAC ID: 5597170233 Enrollment ID: I20210210002740 |
| Provider Name | Tierney K Elison |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689226441 PECOS PAC ID: 2062835283 Enrollment ID: I20210401000279 |
| Provider Name | Kolby R Andrade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033734199 PECOS PAC ID: 3072914126 Enrollment ID: I20210625002023 |
| Provider Name | Vanda J Barros-lopes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588230254 PECOS PAC ID: 1456754167 Enrollment ID: I20210719002056 |
| Provider Name | Darnell E Browne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235703901 PECOS PAC ID: 1759784465 Enrollment ID: I20210719002297 |
| Provider Name | Janina M Colavita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013513837 PECOS PAC ID: 2062817471 Enrollment ID: I20210824001358 |
| Provider Name | Rachana Shrestha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376039107 PECOS PAC ID: 1658776638 Enrollment ID: I20210830001961 |
| Provider Name | Leonardo M Rozal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891292488 PECOS PAC ID: 5799181723 Enrollment ID: I20210831000927 |
| Provider Name | Rima A Aljundi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962922377 PECOS PAC ID: 0648540989 Enrollment ID: I20210914000686 |
| Provider Name | Maria J Franco Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174976401 PECOS PAC ID: 1153728845 Enrollment ID: I20210922003345 |
| Provider Name | Shrein Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235580259 PECOS PAC ID: 9335476746 Enrollment ID: I20210924001035 |
| Provider Name | Lisa M Martinez-franco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184042889 PECOS PAC ID: 4486960903 Enrollment ID: I20211001000909 |
| Provider Name | Sophal Sok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497328512 PECOS PAC ID: 5294123113 Enrollment ID: I20211026003291 |
| Provider Name | Xiuhong Lyu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376020248 PECOS PAC ID: 9436494598 Enrollment ID: I20211102002666 |
| Provider Name | Erica Depina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447928569 PECOS PAC ID: 6507256781 Enrollment ID: I20211201002973 |
| Provider Name | Andrea T Moseman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295364917 PECOS PAC ID: 0941691463 Enrollment ID: I20211216002798 |
| Provider Name | Cocetha M Belton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942840996 PECOS PAC ID: 5698166809 Enrollment ID: I20211223001215 |
| Provider Name | Seaniah B Popovec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578229779 PECOS PAC ID: 1153712195 Enrollment ID: I20211229001330 |
| Provider Name | Shannon Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134714231 PECOS PAC ID: 4587055348 Enrollment ID: I20220105001226 |
| Provider Name | Lorie Bixler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134896087 PECOS PAC ID: 8022401801 Enrollment ID: I20220201000498 |
| Provider Name | Mary W. Kinyariro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073279584 PECOS PAC ID: 4789077447 Enrollment ID: I20220202001190 |
| Provider Name | Rita Stegman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114688389 PECOS PAC ID: 6608260948 Enrollment ID: I20220302000578 |
| Provider Name | Nichele Y Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245599166 PECOS PAC ID: 9032506035 Enrollment ID: I20220421001035 |
| Provider Name | Efe I Shavers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164909990 PECOS PAC ID: 8527455583 Enrollment ID: I20220422000293 |
| Provider Name | Ihuoma I Arikibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942805338 PECOS PAC ID: 3375930902 Enrollment ID: I20220428001136 |
| Provider Name | Amelia K Quigley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518503382 PECOS PAC ID: 9931596590 Enrollment ID: I20220428002296 |
| Provider Name | Kaitlyn Kerr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588213391 PECOS PAC ID: 2466784244 Enrollment ID: I20220809001454 |
| Provider Name | Dilek Cermik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780663286 PECOS PAC ID: 5799731840 Enrollment ID: I20220810000974 |
| Provider Name | Muhammad Alghanem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457738619 PECOS PAC ID: 9537471438 Enrollment ID: I20220811000399 |
| Provider Name | Kandyce V Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386364545 PECOS PAC ID: 1153797055 Enrollment ID: I20221018001858 |
| Provider Name | Susanne E Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053712174 PECOS PAC ID: 6507232360 Enrollment ID: I20221019000917 |
| Provider Name | Stefania S Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083353338 PECOS PAC ID: 8729454517 Enrollment ID: I20221019001893 |
| Provider Name | Mydwine Pierre Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588892434 PECOS PAC ID: 5991179327 Enrollment ID: I20230324002022 |
| Provider Name | Catherine L Sugrue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396276424 PECOS PAC ID: 9830555382 Enrollment ID: I20230525001740 |
| Provider Name | Nyrvah Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649840679 PECOS PAC ID: 7911364369 Enrollment ID: I20230531001217 |
| Provider Name | Jerome Jeremie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568175586 PECOS PAC ID: 3678931987 Enrollment ID: I20230619001705 |
| Provider Name | David Calzado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124744990 PECOS PAC ID: 3375901317 Enrollment ID: I20230622002963 |
| Provider Name | Jhony J Regis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588365548 PECOS PAC ID: 1254793391 Enrollment ID: I20230822000271 |
| Provider Name | Connor O'neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134804883 PECOS PAC ID: 3971967944 Enrollment ID: I20230908001538 |
| Provider Name | Emma A. Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316646458 PECOS PAC ID: 4981050432 Enrollment ID: I20231019003234 |
| Provider Name | Grigor Martirosyan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023797503 PECOS PAC ID: 9436505542 Enrollment ID: I20231026000367 |
| Provider Name | Alison L. Meola |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588300073 PECOS PAC ID: 5597148601 Enrollment ID: I20231104000221 |
| Provider Name | Muna Mohamed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821729534 PECOS PAC ID: 2163879560 Enrollment ID: I20231107001029 |
| Provider Name | Kailie E Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245918143 PECOS PAC ID: 7719334614 Enrollment ID: I20231115001012 |
| Provider Name | Sarenna Liss Rosario |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225501117 PECOS PAC ID: 5890146765 Enrollment ID: I20240105000185 |
| Provider Name | Marleny De Pina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114795903 PECOS PAC ID: 0345684692 Enrollment ID: I20240215000295 |
| Provider Name | Oluwabusayo Ajasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306623517 PECOS PAC ID: 0749628584 Enrollment ID: I20240329001144 |
| Provider Name | Cintya Alves Gray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538546783 PECOS PAC ID: 5890135123 Enrollment ID: I20240502003074 |
| Provider Name | Maddison A. Mulvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881398543 PECOS PAC ID: 9638510514 Enrollment ID: I20240509000530 |
| Provider Name | Christina Lmhc Cazeau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912574468 PECOS PAC ID: 6800237199 Enrollment ID: I20240517001515 |
| Provider Name | Lucileide M. Chaves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417217399 PECOS PAC ID: 2567804016 Enrollment ID: I20240529002330 |
| Provider Name | Maria Cancel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427114008 PECOS PAC ID: 9133661457 Enrollment ID: I20240603000355 |
| Provider Name | Jacqueline Greaves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598126286 PECOS PAC ID: 1355883638 Enrollment ID: I20240603002879 |
| Provider Name | Sue E. Daigle-gillis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578656534 PECOS PAC ID: 2264974104 Enrollment ID: I20240607000408 |
| Provider Name | Suiki Liao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285495598 PECOS PAC ID: 5698217123 Enrollment ID: I20240611004467 |
Healing Hearts Holistically Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 North Pearl St, Brockton, MA 02301 Phone: 508-584-3278 Fax: 508-584-3279 | |
Brockton Area Multi-services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Pleasant St, Brockton, MA 02301 Phone: 508-586-5977 Fax: 508-583-5847 | |
Urogynob Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Suite 102w, Brockton, MA 02301 Phone: 508-897-4790 Fax: 508-897-4778 | |
Esp Medical Bilh Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St Ste 102w, Brockton, MA 02301 Phone: 508-521-9259 Fax: 844-823-0453 | |
Freccero Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 Byron Ave, Brockton, MA 02301 Phone: 508-583-7595 Fax: 508-559-2278 | |
Tristan Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Belmont St, Brockton, MA 02301 Phone: 508-583-1400 | |
Gis Services 2, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 189 Quincy St, Brockton, MA 02302 Phone: 508-588-6700 Fax: 508-584-3010 |