NPIMap

Organization Active NPI

City of Brockton Health Department

  • State or Local Public Health Clinic/Center
  • Brockton, MA
National Provider Identifier
1184504847
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CITY OF BROCKTON HEALTH DEPARTMENT
Doing business as
City of Brockton Health Department
Practice address
60 Crescent St
Brockton, MA 02301-4314
Phone
(508) 580-1715
Fax
(508) 941-0255
NPI assigned
Sep 4, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF BROCKTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Eno Mondesir, PH D MPH
Title
Executive Health Officer
Phone
(508) 894-1481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X NU
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

60 Crescent St
Brockton, MA 02301-4314

Mailing address

45 School St
Brockton, MA 02301-4052
Phone (508) 894-1481

Other names 1

  • City of Brockton Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brockton Public Schools3 organizations share this tax ID, including this one
Part of
City of Brockton Health Department

Other organizations with this tax ID 2

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

Locations

60 Crescent St
Brockton, MA 02301
Phone (508) 580-7950

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1184504847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SCHOOL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014052",
            "telephone_number": "508-894-1481",
            "fax_number": "508-941-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CRESCENT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014314",
            "telephone_number": "508-580-1715",
            "fax_number": "508-941-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BROCKTON HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF BROCKTON",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MONDESIR",
        "authorized_official_first_name": "ENO",
        "authorized_official_title_or_position": "EXECUTIVE HEALTH OFFICER",
        "authorized_official_telephone_number": "508-894-1481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D   MPH"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Brockton Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 2025; 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.