Active NPI
Bradley A Eisenberg, DO
- Internal Medicine Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 243071
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104051200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MA, VT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 243071 | MA | MD | Internal Medicine Physician |
| 51308 | WI | MD | Internal Medicine Physician |
| OS15146 | FL | MD | Hospitalist Physician |
Practice roles
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
- 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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Internal Medicine Physician
- Boston, MA
- NPI 1497151773
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Ambulance
- Boston, MA
- NPI 1518600501
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.