Organization Active NPI

Arthur R Bregoli Jr MD PC

  • Primary Care Clinic/Center
  • Braintree, MA
National Provider Identifier
1346446168
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
77050 Issued in MA
Legal business name
ARTHUR R BREGOLI JR MD PC
Practice address
400 Washington St
Suite 402
Braintree, MA 02184-4729
Phone
(781) 849-7330
NPI assigned
Jun 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arthur Ralph Bregoli Jr.NPI 1801863196
Title
MD
Phone
(781) 849-7330

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
Primary Care Clinic/Center 261QP2300X 77050 MA Primary

Addresses

Primary practice location

400 Washington St
Suite 402
Braintree, MA 02184-4729

Mailing address

400 Washington St
Suite 402
Braintree, MA 02184-4729
Phone (781) 849-7330

Other identifiers 1

IdentifierTypeStateIssuer
3104982MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150805006511 MA Part B Supplier - Clinic/Group Practice 9931413945 Receives reassigned benefits from 3 practitioners
Practice locations: Braintree, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0971930Arthur Bregoli Jr MD400 Washington Street, Suite 402, Braintree, MA 02184Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

400 Washington St
Ste 402
Braintree, MA 02184
Phone (781) 849-7330

Practitioners & affiliated clinicians

Practitioners 3

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346446168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST",
            "address_2": "SUITE 402",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844729",
            "telephone_number": "781-849-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST",
            "address_2": "SUITE 402",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844729",
            "telephone_number": "781-849-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR R BREGOLI JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREGOLI",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "781-849-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "77050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104982",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.