Organization Active NPI

South Surburban Oncology

  • Radiation Oncology Physician
  • Brockton, MA
National Provider Identifier
1043492846
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
SOUTH SURBURBAN ONCOLOGY
Practice address
55 Christy Dr
Brockton, MA 02301-1813
Phone
(508) 897-1505
NPI assigned
Dec 4, 2007
Organization subpart
Yes
Parent organization
SOUTH SURBURBAN ONCOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harold Joseph Barthold, MD
Title
Medical Director
Phone
(508) 897-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

55 Christy Dr
Brockton, MA 02301-1813

Mailing address

55 Christy Dr
Brockton, MA 02301-1813
Phone (508) 897-1505

Other names 1

  • South Surburban Oncology Doctors Other name

National Provider Directory

National Provider Directory
Part of
South Suburban Oncology

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1043492846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011813",
            "telephone_number": "508-897-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011813",
            "telephone_number": "508-897-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SURBURBAN ONCOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SURBURBAN ONCOLOGY",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BARTHOLD",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-897-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Surburban Oncology Doctors",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.