Active NPI
Jeffrey A Kleiman, MD
- Family Medicine Physician
- Brockton, MA
National Provider Identifier
1386630713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51369
- Practice address
- 1 Pearl St
Ste 1500
Brockton, MA 02301-2864 - Phone
- (508) 897-6125
- Fax
- (508) 897-6124
- NPI assigned
- Sep 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 51369 | MA | Primary |
Addresses
Primary practice location
1 Pearl St
Ste 1500
Brockton, MA 02301-2864
Mailing address
1 Pearl St
Ste 1500
Brockton, MA 02301-2864
Phone (508) 897-6125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2082527 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care of Boston Management Corporation | Current | Accepting new patients | |
| Steward Medical Group, Inc | Past | Accepting new patients | |
| Bridgewater Pediatrics LLC | Past | Accepting new patients |
Locations
93 Pond St
Sharon, MA 02067
Phone (781) 784-9212
Organizations & group practices 3
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
- Needham, MA
- NPI 1437196359
-
- Pediatrics Physician
- Bridgewater, MA
- NPI 1255579975
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1386630713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PEARL ST",
"address_2": "STE 1500",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012864",
"telephone_number": "508-897-6125",
"fax_number": "508-897-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PEARL ST",
"address_2": "STE 1500",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012864",
"telephone_number": "508-897-6125",
"fax_number": "508-897-6124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIMAN",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "51369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2082527",
"state": "MA"
}
],
"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 Feb 7, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.