Bio-Medical Applications of Massachusetts, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.

Doing business as

Brockton Dialysis Center

Practice address

375 Westgate Drive
Brockton, MA 02301

Phone

(508) 586-2791

NPI assigned

Aug 7, 2006

Last updated

Jan 19, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brockton Dialysis Center Doing business as

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1265441224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 WESTGATE DRIVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-586-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WESTGATE DRIVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-586-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303309",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew John Bickford
• Engel Berto Bido Santos, MD
• Big Hearts Home Care Services
• Bill Vagenas, DMD, LLC (Vagenas Dental)
• Jennifer Jeanne Bingham-Maas, M.A.CCC-SLP
• Jessica Lee Bishop
• Laura Elizabeth Bishop
• Lorie Bixler
• Stephen J Black, DMD
• Judith Blaikie

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.