Individual provider Active NPI

Cory Pickering, PA

  • Physician Assistant
  • Brockton, MA
National Provider Identifier
1437502697
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6087 Issued in MA
Practice address
680 Centre St
Brockton
Brockton, MA 02302-3308
Phone
(508) 941-7400
NPI assigned
Jul 22, 2016
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6087 MA Primary

Addresses

Primary practice location

680 Centre St
Brockton
Brockton, MA 02302-3308

Mailing address

680 Centre St
Brockton
Brockton, MA 02302-3308

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170614001930 MA Practitioner - Physician Assistant 3678841715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1030 Main St
Waltham, MA 02451-7447
Phone (781) 894-6900

228 Washington St
Attleboro, MA 02703-5561
Phone (774) 400-4084

648 Old W Central St
Franklin, MA 02038-3826
Phone (774) 400-4084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA6087MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Hospital, Inc. CurrentSince Dec 23, 2017 Accepting new patients
Brockton Hospital, Inc. CurrentSince Dec 23, 2017 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Feb 1, 2025 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Feb 1, 2025 Accepting new patients
Brockton Hospital Specialty Physician Group Past Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1210 Boylston St
Chestnut Hill, MA 02467
Phone (617) 608-3215

1019 Trapelo Rd
Waltham, MA 02452
Phone (781) 736-1800

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

Interoperability endpoints

  • Direct secure messaging: cory.pickering@direct.signature.masshiway.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1437502697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "address_2": "BROCKTON",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "address_2": "BROCKTON",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "CORY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.