Active NPI
Laurence S. Wohl, M.D.P.C.
- Internal Medicine Physician
- Brockton, MA
National Provider Identifier
1285759266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34264
- Legal business name
- LAURENCE S. WOHL, M.D.P.C.
- Practice address
- 166 Quincy Ave
Brockton, MA 02302-2803 - Phone
- (508) 587-5252
- Fax
- (508) 427-4318
- NPI assigned
- Mar 20, 2007
- Last updated
- Mar 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laurence Steven Wohl, M.D.
- Title
- Owner
- Phone
- (508) 587-5252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34264 | MA | Primary |
Addresses
Primary practice location
166 Quincy Ave
Brockton, MA 02302-2803
Mailing address
166 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 587-5252
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2032937 | Medicaid | MA | |
| 708384 | Other | MA | TUFTS |
| C20209 | Other | MA | BLUE SHIELD-INDIVIDUAL ID |
| 1891749669 | Other | MA | NPI-INDIVIDUAL ID NUMBER |
| 6055 | Other | MA | HARVARDPILGRIM |
National Provider Directory
National Provider DirectoryLocations
166 Quincy Ave
Brockton, MA 02302
Phone (508) 583-0360
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1891749669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459123200000",
"number": "1285759266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 QUINCY AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022803",
"telephone_number": "508-587-5252",
"fax_number": "508-427-4318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 QUINCY AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022803",
"telephone_number": "508-587-5252",
"fax_number": "508-427-4318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURENCE S. WOHL, M.D.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2016-03-28",
"status": "A",
"authorized_official_last_name": "WOHL",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-587-5252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "34264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2032937",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "708384",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-INDIVIDUAL ID",
"identifier": "C20209",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-INDIVIDUAL ID NUMBER",
"identifier": "1891749669",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARDPILGRIM",
"identifier": "6055",
"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 Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.