Active NPI
James Marquardt, MD, PC.
- Obstetrics & Gynecology Physician
- Brockton, MA
National Provider Identifier
1457417669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 71651
- Legal business name
- JAMES MARQUARDT, MD, PC.
- Practice address
- 47 Libby St
Brockton, MA 02302-2949 - Phone
- (781) 585-9522
- Fax
- (781) 585-9544
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Marquardt, MD
- Title
- President
- Phone
- (781) 585-9522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 71651 | MA | Primary |
Addresses
Primary practice location
47 Libby St
Brockton, MA 02302-2949
Mailing address
47 Libby St
Brockton, MA 02302-2949
Phone (781) 585-9522
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71651 | Other | MA | TUFTS |
| 3163300 | Medicaid | MA | |
| J09330 | Other | MA | BLUE CROSS BLUE SHIELD |
| 13712BWH | Other | MA | HARVARD PILGRIM HEALTHCAR |
National Provider Directory
National Provider DirectoryLocations
47 Libby St
Brockton, MA 02302
Phone (508) 586-8083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457417669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 LIBBY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022949",
"telephone_number": "781-585-9522",
"fax_number": "781-585-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 LIBBY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022949",
"telephone_number": "781-585-9522",
"fax_number": "781-585-9544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES MARQUARDT, MD, PC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARQUARDT",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-585-9522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "71651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "71651",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3163300",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J09330",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "13712BWH",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.