Brockton Recovery Medical Associates PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BROCKTON RECOVERY MEDICAL ASSOCIATES PC

Practice address

375 Westgate Dr
Brockton, MA 02301-1818

Phone

(508) 562-6308

NPI assigned

Feb 26, 2009

Last updated

Sep 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Xavier Caban

Title

Manager

Phone

(857) 544-2776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Bay State Medical Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bay State Medical Associates, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Brockton, MA
  • NPI 1255749289
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Stuart Fox, M.D.

  • Plastic Surgery Physician
  • Fall River, MA
  • NPI 1497799480
  Medicare reassignment Care Compare group
• Richard D Smith, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Brockton, MA
  • NPI 1215993993
  Medicare reassignment Care Compare group
• Bo Xu, MD

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1679525596
  Medicare reassignment

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1144460478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011818",
            "telephone_number": "508-562-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011818",
            "telephone_number": "508-562-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON RECOVERY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "857-544-2776"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brockton Pediatrics
• Brockton Pharmacy, LLC (Brockton Pharmacy)
• Brockton Physical Therapy & Rehabilitation, Inc.
• Brockton Radiation Oncology
• Brockton Radiological Associates, Inc.
• Brockton Rehabilitation and Nursing Center LLC (Champion Rehabilitation and Nursing Center)
• Brockton Rehabilitation Services Corp
• Brockton Smiles Youth Dentistry, LLC
• Brockton Visiting Nurse Association
• Brockton Visiting Nurse Association

• Health Service Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• Health Service Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.