NPIMap

Organization Active NPI

Shields Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • Brockton, MA
National Provider Identifier
1194249490
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SHIELDS RADIOLOGY ASSOCIATES, P.C.
Practice address
265 Westgate Dr Ste 2
Brockton, MA 02301-1817
Phone
(800) 258-4574
Fax
(800) 253-7569
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Stephen T Sweriduk, MDNPI 1134126105
Title
Medical Director
Phone
(800) 258-4674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Therapeutic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0203X

Addresses

Primary practice location

265 Westgate Dr Ste 2
Brockton, MA 02301-1817

Mailing address

55 Christy Dr
Brockton, MA 02301-1813
Phone (508) 897-1501

National Provider Directory

National Provider Directory

Locations

265 Westgate Dr
Ste 2
Brockton, MA 02301
Phone (800) 258-4574

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1194249490",
    "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": "508-897-1501",
            "fax_number": "508-897-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WESTGATE DR STE 2",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011817",
            "telephone_number": "800-258-4574",
            "fax_number": "800-253-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS RADIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "SWERIDUK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-258-4674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 28, 2017; 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.