Active NPI
Brockton Radiological Associates, Inc.
- Diagnostic Radiology Physician
- Brockton, MA
National Provider Identifier
1497867923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BROCKTON RADIOLOGICAL ASSOCIATES, INC.
- Practice address
- 680 Centre St
Brockton, MA 02302-3308 - Phone
- (508) 941-7150
- Fax
- (508) 941-6104
- NPI assigned
- Aug 31, 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. Warren Salzman
- Title
- President
- Phone
- (508) 941-7150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
680 Centre St
Brockton, MA 02302-3308
Mailing address
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9745254 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497867923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 CENTRE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-941-7150",
"fax_number": "508-941-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 CENTRE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-941-7150",
"fax_number": "508-941-6104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROCKTON RADIOLOGICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SALZMAN",
"authorized_official_first_name": "WARREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-941-7150",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9745254",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
- Brockton Oral & Maxillofacial Surgery Inc
- Brockton Pediatrics
- Brockton Pharmacy, LLC
- Brockton Physical Therapy & Rehabilitation, Inc.
- Brockton Radiation Oncology
- Brockton Recovery Medical Associates PC
- Brockton Rehabilitation and Nursing Center LLC
- Brockton Rehabilitation Services Corp
- Brockton Smiles Youth Dentistry, LLC
- Brockton Visiting Nurse Association
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.