Individual provider Active NPI

Stephen D Gunning, PA-C

  • Physician Assistant
  • Brockton, MA
National Provider Identifier
1215583901
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
680 Centre St
Brockton, MA 02302-3395
Phone
(508) 941-7000
NPI assigned
Aug 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

680 Centre St
Brockton, MA 02302-3395

Mailing address

42 Sunset Ave
West Bridgewater, MA 02379-1134
Phone (781) 366-2595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191112003389 MA Practitioner - Physician Assistant 2466884440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health IncGroup PAC ID 9537152806, 191 clinicians

Practice addresses (Care Compare)

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 695-0055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
69.5
Promoting interoperability
100
Improvement activities
40
Cost
72.15

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
Quality
65.25
Promoting interoperability
100
Improvement activities
40
Cost
71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health Inc CurrentSince Mar 16, 2023 Accepting new patients
Brockton Hospital, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Brockton Hospital, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Sturdy Health, Inc. CurrentSince Mar 16, 2023 Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1215583901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SUNSET AVE",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791134",
            "telephone_number": "781-366-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023395",
            "telephone_number": "508-941-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNING",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.