Associates in Nephrology, PC
Organization Active NPI Nephrology Physician · Brockton, MA
NPI 1154372142 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1154372142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- ASSOCIATES IN NEPHROLOGY, PC
- Practice address
- 76 Campenelli Industrial Dr
Brockton, MA 02301-0000 - Phone
- (508) 587-0700
- Fax
- (508) 587-0287
- NPI assigned
- May 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Lisa Silva
- Title
- Practice Manager
- Phone
- (508) 587-0700
Practitioners 3
-
Ian Michael Wu, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080808000310 | MA | Part B Supplier - Clinic/Group Practice | 8921172958 |
Receives reassigned benefits from 3 practitioners Practice locations: Brockton, MA |
National Provider Directory
Locations
76 Campanelli Industrial Dr
#D
Brockton, MA 02301
Phone (508) 587-0700
76 Campanelli Industrial Dr
Brockton, MA 02301
Phone (508) 427-5329
1 Washington St
Ste 115
Taunton, MA 02780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
76 Campenelli Industrial Dr
Brockton, MA 02301-0000
Mailing address
76 Campenelli Industrial Dr
Brockton, MA 02301-0000
Phone (508) 587-0700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000005590 | Other | MA | HEALTH NETPLAN |
| 9744118 | Medicaid | MA | |
| 600658 | Other | MA | HARVARD PILGRIM |
| M14115 | Other | MA | BLUECROSS/BLUESHIELD |
| 110070227A | Medicaid | MA | |
| 600317 | Other | MA | TUFTS |
| CM6110 | Other | MA | RAILROAD MEDICARE |
Other names
- ASSOCIATES IN NEPHROLOGY,PC
Other providers in Brockton, MA
- Joseph Richard Asiaf
- Soubhana Asif
- Angela N Aslami
- Kathleen Aspinall
- Marielle Asselin
- Asthma & Allergy Physicians LLC
- Shauna Kelleher Ata
- Valentin K Atanassov
- Jessie Atkins
- Melissa Marie Atkins
All providers in Brockton, MA · Nephrology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.