Individual provider Active NPI

Bradley A Eisenberg, DO

  • Internal Medicine Physician
  • Brockton, MA
National Provider Identifier
1326120833
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
243071 Issued in MA
Practice address
235 N Pearl St
Brockton, MA 02301-1794
Phone
(508) 427-3000
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 243071 MA Primary
Internal Medicine Physician 207R00000X 2079 WV
Internal Medicine Physician 207R00000X 51308 WI
Hospitalist Physician 208M00000X OS15146 FL

Addresses

Primary practice location

235 N Pearl St
Brockton, MA 02301-1794

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice location 1

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 343-2052

Other practice location 2

800 Garfield Ave
Parkersburg, WV 26101-5340
Phone (304) 420-7161

Other identifiers 1

IdentifierTypeStateIssuer
104051200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MA, VT, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080307000440 WI Practitioner - Internal Medicine 2264432616 Reassigns benefits to 1 organization
I20110119000010 MA Practitioner - HospitalistPractitioner - Internal Medicine 2264432616 Reassigns benefits to 7 organizations
I20141126000886 VT Practitioner - Internal Medicine 2264432616 Reassigns benefits to 1 organization
I20220915003133 WA Practitioner - Internal Medicine 2264432616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Nova Southeastern College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
243071MAMDInternal Medicine Physician
51308WIMDInternal Medicine Physician
OS15146FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 1, 2018 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Oct 1, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Nov 1, 2012 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 1, 2015 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Nov 1, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 2018 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Apr 19, 2024 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Apr 19, 2024 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Coastal Medical Associates Hospitalist CurrentSince Nov 1, 2020 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
BMC Affiliated Physicians, Inc. Internal Medicine CurrentSince May 30, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Oct 1, 2015 Accepting new patients
South Shore Medical Center, Inc. Internal Medicine CurrentSince Sep 26, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Northwestern Medical Center Inc Past Accepting new patients
Stoughton Hospital Association Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

960 Massachusetts Ave
Ste 2
Boston, MA 02118

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • Direct secure messaging: beisenberg257576@direct.bmc.masshiway.net

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1326120833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690",
            "fax_number": "617-414-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33908",
            "country_code": "US",
            "telephone_number": "239-343-2052",
            "fax_number": "239-343-5348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015340",
            "country_code": "US",
            "telephone_number": "304-420-7161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "243071",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2079",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "51308",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS15146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104051200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.