Individual provider Active NPI

Michael Lawrence, M.D.

  • Allergy Physician
  • Brockton, MA
National Provider Identifier
1477506541
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
30943 Issued in MA
Practice address
35 Pearl St
Suite 300
Brockton, MA 02301-2866
Phone
(508) 584-6300
Fax
(508) 580-4664
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 30943 MA Primary

Addresses

Primary practice location

35 Pearl St
Suite 300
Brockton, MA 02301-2866

Mailing address

35 Pearl St
Suite 300
Brockton, MA 02301-2866
Phone (508) 584-6300

Other identifiers 1

IdentifierTypeStateIssuer
188301MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000525 MA Practitioner - Allergy/Immunology 9638112436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asthma and Allergy Physicians LLCGroup PAC ID 7012950801, 8 clinicians

Practice addresses (Care Compare)

35 Pearl St
Suite 300
Brockton, MA 02301-2866
Phone (508) 584-6300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30943MAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Physicians LLC Allergy CurrentSince May 1, 2003 Accepting new patients

Locations

35 Pearl St
Ste 300
Brockton, MA 02301
Phone (508) 584-6300

115 Water St
Milford, MA 01757
Phone (508) 634-8700

675 Paramount Dr
Ste 303
Raynham, MA 02767
Phone (508) 259-3268

35 Summer St
Taunton, MA 02780
Phone (508) 822-4100

35 Summer St
Ste 101
Taunton, MA 02780
Phone (508) 824-4449

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1477506541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PEARL ST",
            "address_2": "SUITE 300",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012866",
            "telephone_number": "508-584-6300",
            "fax_number": "508-580-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PEARL ST",
            "address_2": "SUITE 300",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012866",
            "telephone_number": "508-584-6300",
            "fax_number": "508-580-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "30943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.