NPIMap

Organization Active NPI

Commonwealth Health Systems Inc.

Doing business as Goddard Brockton Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Stoughton, MA
National Provider Identifier
1316022064
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
COMMONWEALTH HEALTH SYSTEMS INC.
Doing business as
Goddard Brockton Kidney Center
Practice address
907 Sumner St
Suite M107
Stoughton, MA 02072-3374
Phone
(781) 341-8550
Fax
(781) 341-8768
NPI assigned
Oct 25, 2006
Last updated
Feb 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. Shreekant Chopra, M.D.NPI 1740288943
Title
President
Phone
(781) 341-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X MA Primary

Addresses

Primary practice location

907 Sumner St
Suite M107
Stoughton, MA 02072-3374

Mailing address

53 Eisenhower Dr
Sharon, MA 02067-2436
Phone (781) 341-8550

Other identifiers 4

IdentifierTypeStateIssuer
1309536MedicaidMA
730145OtherMATUFTS
222222310OtherMABLUE CROSS BLUE SHIELD
626151OtherMAHARVARD PILGRIM HEALTH

Other names 1

  • Goddard Brockton Kidney Center Doing business as

National Provider Directory

National Provider Directory

Locations

907 Sumner St
Ste M107
Stoughton, MA 02072
Phone (781) 341-8550

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1316022064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 EISENHOWER DR",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672436",
            "telephone_number": "781-341-8550",
            "fax_number": "781-341-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SUMNER ST",
            "address_2": "SUITE M107",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723374",
            "telephone_number": "781-341-8550",
            "fax_number": "781-341-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH HEALTH SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "CHOPRA",
        "authorized_official_first_name": "SHREEKANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-341-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309536",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "730145",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "222222310",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "626151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goddard Brockton Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.