Active NPI
South Surburban Oncology
- Radiation Oncology Physician
- Brockton, MA
National Provider Identifier
1043492846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- 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 ONCOLOGY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 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
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
- South Bay Mental Health Center, Inc.
- South Bay Mental Health Center, Inc.
- South Bay Mental Health Center, Inc.
- South Shore Adult Day Health Center LLC
- South Shore Elder Care
- Southbay Community Services
- Southeast Orthodontics, Inc.
- Southeastern Massachusetts Regional MRI, Limited Partnership
- Southeastern Oral & Maxillofacial Surgeons PC
- Doreen Germaine Souza, MSW
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.