NPIMap

Organization Active NPI

Boston Medical Center - South Corporation

  • Substance Abuse Rehabilitation Facility
  • Brockton, MA
National Provider Identifier
1376460931
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BOSTON MEDICAL CENTER - SOUTH CORPORATION
Practice address
34 N Pearl St
Brockton, MA 02301-1708
Phone
(508) 408-9200
NPI assigned
Jul 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Mark Jay Heichman
Title
Executive Director
Phone
(857) 310-3991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

34 N Pearl St
Brockton, MA 02301-1708

Mailing address

1 Boston Medical Ctr PL Ste 1
Boston, MA 02118-2999

Other names 1

  • BMC South Brockton Behavioral Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boston Medical Center - South Corporation6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1376460931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL STE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "508-408-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CENTER - SOUTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "HEICHMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "857-310-3991"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMC South Brockton Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2026; 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.