NPIMap

Individual provider Active NPI

Daniel Leroy Bohl, MD

  • Nephrology Physician
  • Brockton, MA
National Provider Identifier
1477579795
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
235028 Issued in MA
Practice address
76 Campanelli Industrial Dr
Brockton, MA 02301-1809
Phone
(508) 930-3062
Fax
(508) 587-0287
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 235028 MA Primary
Nephrology Physician 207RN0300X 200202484 MO

Addresses

Primary practice location

76 Campanelli Industrial Dr
Brockton, MA 02301-1809

Mailing address

76 Campanelli Industrial Dr
Brockton, MA 02301-1851
Phone (508) 930-3062

Other identifiers 1

IdentifierTypeStateIssuer
202912OtherMO-BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000129 MA Practitioner - Nephrology 6204841851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians
Associates in Nephrology, PCGroup PAC ID 8921172958, 3 clinicians

Practice addresses (Care Compare)

110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400

505 Bedford St
Bridgewater, MA 02324-3117
Phone (508) 697-8666

545 Bedford St
Bridgewater, MA 02324-3117
Phone (508) 697-3677

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

76 Campanelli Industrial Dr
Brockton, MA 02301-1851
Phone (508) 587-0700

Hospital & facility affiliations

  • Taunton Regional Dialysis Center Dialysis facility, Taunton, MA, CCN 222573
  • Brockton Regional Kidney Center Dialysis facility, Brockton, MA, CCN 222574
  • Brockton Dialysis Center, LLC Dialysis facility, Brockton, MA, CCN 222505
  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
97.71
Promoting interoperability
99
Improvement activities
40
Cost
71.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235028MAMDNephrology Physician
200202484MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology, PC Nephrology CurrentSince Jun 16, 2008 Accepting new patients
Signature Healthcare Medical Group Inc Nephrology CurrentSince Jun 16, 2008 Accepting new patients
Washington University Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

360 Brockton Ave
Abington, MA 02351
Phone (781) 878-1700

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

76 Campanelli Industrial Dr
Brockton, MA 02301
Phone (508) 427-5329

76 Campanelli Industrial Dr
#D
Brockton, MA 02301
Phone (508) 587-0700

1 Donalds Way
Ste 200
East Bridgewater, MA 02333
Phone (508) 940-0400

1 Washington St
Ste 115
Taunton, MA 02780

Interoperability endpoints

  • Direct secure messaging: daniel.bohl@direct.signature.masshiway.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJBAA/Endpoint/DAJBAA

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1477579795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CAMPANELLI INDUSTRIAL DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011851",
            "telephone_number": "508-930-3062",
            "fax_number": "508-587-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CAMPANELLI INDUSTRIAL DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011809",
            "telephone_number": "508-930-3062",
            "fax_number": "508-587-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHL",
        "first_name": "DANIEL",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "235028",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "200202484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO-BLUE SHIELD",
            "identifier": "202912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.