Active NPI
Signature Healthcare Medical Group Inc
Doing business as Signature Medical
- Internal Medicine Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 240642
- Legal business name
- SIGNATURE HEALTHCARE MEDICAL GROUP INC
- Doing business as
- Signature Medical
Signature Medical Group - Practice address
- 110 Liberty St
Brockton, MA 02301-5674 - Phone
- (508) 894-0400
- NPI assigned
- Jun 4, 2006
- Last updated
- Aug 5, 2026
- 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
- Cynthia Marie Colby
- Title
- Director, Medical Staff Services
- Phone
- (508) 941-0958
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Internal Medicine Physician | 207R00000X | 240642 | MA | Primary |
| Internal Medicine Physician | 207R00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU | ||
| Gastroenterology Physician | 207RG0100X | NU | ||
| Nephrology Physician | 207RN0300X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | ||
| Surgery Physician | 208600000X | NU | ||
| Urology Physician | 208800000X | NU | ||
| Hospitalist Physician | 208M00000X | NU |
Addresses
Primary practice location
110 Liberty St
Brockton, MA 02301-5674
Mailing address
680 Centre St
Brockton, MA 02302-3308
Phone (508) 894-0400
Other practice location 1
130 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 894-0400
Other practice location 2
1 Donalds Way
East Bridgewater, MA 02333-1476
Phone (508) 894-0400
Other practice location 3
1215 Broadway
Raynham, MA 02767-1942
Phone (508) 894-0400
Other practice location 4
545 Bedford St
Bridgewater, MA 02324-3117
Phone (508) 894-0400
Other practice location 5
176 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 894-0400
Other practice location 6
25 Libby St
Brockton, MA 02302-2949
Phone (508) 894-0400
Other practice location 7
179 Quincy St
Brockton, MA 02302-2966
Phone (508) 894-0400
Other practice location 8
360 Brockton Ave
Abington, MA 02351-2186
Phone (508) 894-0400
Other practice location 9
1524 Turnpike St
Stoughton, MA 02072-6011
Phone (508) 941-7000
Other practice location 10
31 Roche Brothers Way
North Easton, MA 02356-1038
Phone (508) 894-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110072349A | Medicaid | MA | |
| M16402 | Other | MA | BCBS GROUP # |
Other names 2
- Signature Medical
- Signature Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0893160 | Signature Medical Group | Certificate of waiver | Dec 31, 2026 |
| 22D0942030 | Signature Medical Group | Provider-performed microscopy | Dec 29, 2026 |
| 22D0958449 | Signature Medical Group | Certificate of waiver | Jun 30, 2027 |
| 22D1011221 | Signature Healthcare Medical Group, Inc | Provider-performed microscopy | Apr 2, 2027 |
| 22D2062537 | Signature Medical Group | Certificate of waiver | Mar 31, 2028 |
| 22D2062540 | Signature Medical Group | Certificate of waiver | Jul 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
505 Bedford St
Bridgewater, MA 02324
Phone (508) 697-3677
545 Bedford St
Bridgewater, MA 02324
Phone (508) 697-3677
110 Liberty St
Brockton, MA 02301
1300 Belmont St
Brockton, MA 02301
Phone (508) 580-1020
176 Quincy Ave
Brockton, MA 02302
Phone (508) 587-5000
178 Quincy Ave
Brockton, MA 02302
Phone (508) 584-8580
179 Quincy St
Ste 3
Brockton, MA 02302
Phone (508) 565-3252
210 Quincy Ave
Brockton, MA 02302
Phone (508) 583-6262
25 Libby St
Brockton, MA 02302
Phone (508) 941-7450
61 Libby St
Brockton, MA 02302
Phone (508) 232-7617
25 Warren St
Randolph, MA 02368
Phone (781) 986-7800
Interoperability endpoints
- aaron.amardey-wellington@direct.signature.masshiway.net
- abdallah.azouz@direct.signature.masshiway.net
- abena.hagan-brown@direct.signature.masshiway.net
- adam.donahue@direct.signature.masshiway.net
- adrea.lee@direct.signature.masshiway.net
- ahmed.atia@direct.signature.masshiway.net
- aida.hanna@direct.signature.masshiway.net
- aki.ishida@direct.signature.masshiway.net
- akshay.shanbhag@direct.signature.masshiway.net
- aleksandra.tereszkiewicz@direct.signature.masshiway.net
- alexander.georgakis@direct.signature.masshiway.net
- alexis.manzella@direct.signature.masshiway.net
- alfred.tanglao@direct.signature.masshiway.net
- ali.jon@direct.signature.masshiway.net
- ali.niakosari@direct.signature.masshiway.net
- alice.emmanuel@direct.signature.masshiway.net
- alireza.nezhad@direct.signature.masshiway.net
- alireza.toossi@direct.signature.masshiway.net
- aliya.jiwani@direct.signature.masshiway.net
- allan.lauer@direct.signature.masshiway.net
Practitioners & affiliated clinicians
Practitioners 556
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Brockton, MA
- NPI 1326152216
-
- Family Nurse Practitioner
- East Bridgewater, MA
- NPI 1790078863
-
- Infectious Disease Physician
- Rondolph, MA
- NPI 1659593887
-
- Internal Medicine Physician
- North Easton, MA
- NPI 1588152631
-
- Psychiatry Physician
- Boston, MA
- NPI 1366733115
-
- Family Nurse Practitioner
- West Bridgewater, MA
- NPI 1396477386
-
- Family Medicine Physician
- East Bridgewater, MA
- NPI 1245488105
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1285810424
-
- Internal Medicine Physician
- North Easton, MA
- NPI 1740819150
-
- Diagnostic Radiology Physician
- Brockton, MA
- NPI 1639422637
-
- Neurology Physician
- Brockton, MA
- NPI 1316255870
-
- Nephrology Physician
- Brockton, MA
- NPI 1477579795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785888000000",
"number": "1508804949",
"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": "508-894-0400",
"fax_number": "508-941-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015674",
"telephone_number": "508-894-0400"
}
],
"practiceLocations": [
{
"address_1": "130 Quincy Ave",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023022803",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Donalds Way",
"address_purpose": "LOCATION",
"city": "East Bridgewater",
"state": "MA",
"postal_code": "023331476",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Broadway",
"address_purpose": "LOCATION",
"city": "Raynham",
"state": "MA",
"postal_code": "027671942",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 Bedford St",
"address_purpose": "LOCATION",
"city": "Bridgewater",
"state": "MA",
"postal_code": "023243117",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "176 Quincy Ave",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023022803",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Libby St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023022949",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "179 Quincy St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023022966",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Brockton Ave",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "MA",
"postal_code": "023512186",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1524 Turnpike St",
"address_purpose": "LOCATION",
"city": "Stoughton",
"state": "MA",
"postal_code": "020726011",
"country_code": "US",
"telephone_number": "508-941-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 Roche Brothers Way",
"address_purpose": "LOCATION",
"city": "North Easton",
"state": "MA",
"postal_code": "023561038",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SIGNATURE HEALTHCARE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A",
"authorized_official_last_name": "COLBY",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF SERVICES",
"authorized_official_telephone_number": "508-941-0958"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "240642",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110072349A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "M16402",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Signature Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brockton, MA
- Samantha A Siegel
- William C Siegel, MD
- Sierra Express Medical Delivery LLC (Siemeds)
- Eduardo Sierra
- Signature Healthcare Medical Group (Signature Medical Group)
- Signature Healthcare Medical Group, Inc. (Signature Healthcare Brockton Hospital)
- Signature Healthcare Urgent Care, Inc.
- Signature Healthcare Urgent Care, Inc.
- Don S Silberman, D.M.D.
- Courtney May Silva
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.