Randall Bock MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

51810 Issued in MA

Legal business name

RANDALL BOCK MD PC

Practice address

1660 Soldiers Field Rd # 1021
Brighton, MA 02135-1108

Phone

(617) 901-4847

Fax

(781) 286-3076

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Randall S Bock, M DNPI 1205991031

Title

Director

Phone

(617) 982-2865

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Randall Bock, M.D.

  • General Practice Physician
  • North Attleboro, MA
  • NPI 1205991031
  NPD Authorized official

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1285893347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SOLDIERS FIELD RD # 1021",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351108",
            "telephone_number": "617-982-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SOLDIERS FIELD RD # 1021",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351108",
            "telephone_number": "617-901-4847",
            "fax_number": "781-286-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL BOCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-982-2865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "51810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J04222",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6199682",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Rambikur
• Shirly Hashumal Ramchandani, M.D.
• Mohamad-Amin Husein Ramzown, MD
• Namoode Sehar Rana
• Ava Ranaldi
• Randall Margolis,PC
• Amanda Randall, ATC, MED
• Elise Ranger, LICSW
• Danielle Rant
• Gopikrishna Mitnala Rao, MD

• General Practice Physician in Brighton, MA
• Providers in Brighton, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.