Individual provider Active NPI

Gregory Peter Perron, DC

  • Chiropractor
  • Brockton, MA
National Provider Identifier
1326109968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1533 Issued in MA
Practice address
990 Pleasant St
Brockton, MA 02356
Phone
(508) 588-1300
Fax
(508) 588-3313
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1533 MA Primary

Addresses

Primary practice location

990 Pleasant St
Brockton, MA 02356

Mailing address

990 Pleasant St
Brockton, MA 02356
Phone (508) 588-1300

Other identifiers 3

IdentifierTypeStateIssuer
303841OtherTHFTS
9782753MedicaidMA
Y39126OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060511000049 MA Practitioner - Chiropractic 5890706410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

990 Pleasant St
Brockton, MA 02301-3063
Phone (508) 588-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1533MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Perron Inc. Chiropractor CurrentSince Jul 16, 2007 Accepting new patients

Locations

990 Pleasant St
Brockton, MA 02301
Phone (508) 588-1300

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326109968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02356",
            "telephone_number": "508-588-1300",
            "fax_number": "508-588-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02356",
            "telephone_number": "508-588-1300",
            "fax_number": "508-588-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRON",
        "first_name": "GREGORY",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THFTS",
            "identifier": "303841",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9782753",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y39126",
            "state": null
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.