Active NPI
Robert M Becher, M.D.
- Surgery Physician
- Brockton, MA
National Provider Identifier
1235108085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26511
- Practice address
- 1 Pearl Street
Suite 2700
Brockton, MA 02301-2870 - Phone
- (508) 584-4104
- Fax
- (508) 584-4105
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26511 | MA | Primary |
Addresses
Primary practice location
1 Pearl Street
Suite 2700
Brockton, MA 02301-2870
Mailing address
1 Pearl Street
Suite 2700
Brockton, MA 02301-2870
Phone (508) 584-4104
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29001 | Other | MA | HARVARD PILGRIM |
| 17-00098 | Other | MA | UNITED HEALTHCARE |
| 92863 | Other | MA | AETNA |
| 26511 | Other | MA | TUFTS |
| BEC04420 | Other | MA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Surgical Associates Inc | Surgery | Current | Accepting new patients |
Locations
1 Pearl St
Ste 2700
Brockton, MA 02301
Phone (508) 584-4104
966A Park St
Stoughton, MA 02072
Phone (781) 341-0923
Organizations & group practices 1
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.
-
- Surgery Physician
- Brockton, MA
- NPI 1295798122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1235108085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PEARL STREET",
"address_2": "SUITE 2700",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012870",
"telephone_number": "508-584-4104",
"fax_number": "508-584-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PEARL STREET",
"address_2": "SUITE 2700",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012870",
"telephone_number": "508-584-4104",
"fax_number": "508-584-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECHER",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "26511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "29001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "17-00098",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "92863",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "26511",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "BEC04420",
"state": "MA"
}
],
"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 Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.