Organization Active NPI

Signature Healthcare Medical Group Inc

Doing business as Signature Medical

  • Internal Medicine Physician
  • Brockton, MA
National Provider Identifier
1508804949
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240642 Issued in MA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110072349AMedicaidMA
M16402OtherMABCBS GROUP #

Other names 2

  • Signature Medical Doing business as
  • Signature Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040312000372 MA Part B Supplier - Clinic/Group Practice 7719876267 Receives reassigned benefits from 471 practitioners
Practice locations: Stoughton, MA; Raynham, MA; Randolph, MA; North Easton, MA; East Bridgewater, MA; Brockton, MA; Bridgewater, MA; Abington, MA
O20160507000013 MA DME Supplier - Physician - Family Practice 7719876267 Practice locations: Brockton, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0893160Signature Medical Group1215 Broadway, Raynham, MA 02767Certificate of waiverDec 31, 2026
22D0942030Signature Medical Group545 Bedford Street, Bridgewater, MA 02324Provider-performed microscopyDec 29, 2026
22D0958449Signature Medical Group1524 Turnpike Street, Stoughton, MA 02072Certificate of waiverJun 30, 2027
22D1011221Signature Healthcare Medical Group, Inc31 Roche Brothers Way, Suite 130, North Easton, MA 02356Provider-performed microscopyApr 2, 2027
22D2062537Signature Medical Group31 Roche Brothes Way, Suite 140, North Easton, MA 02356Certificate of waiverMar 31, 2028
22D2062540Signature Medical Group31 Roche Brothers Way, Easton, MA 02356Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: aaron.amardey-wellington@direct.signature.masshiway.net
  • Direct secure messaging: abdallah.azouz@direct.signature.masshiway.net
  • Direct secure messaging: abena.hagan-brown@direct.signature.masshiway.net
  • Direct secure messaging: adam.donahue@direct.signature.masshiway.net
  • Direct secure messaging: adrea.lee@direct.signature.masshiway.net
  • Direct secure messaging: ahmed.atia@direct.signature.masshiway.net
  • Direct secure messaging: aida.hanna@direct.signature.masshiway.net
  • Direct secure messaging: aki.ishida@direct.signature.masshiway.net
  • Direct secure messaging: akshay.shanbhag@direct.signature.masshiway.net
  • Direct secure messaging: aleksandra.tereszkiewicz@direct.signature.masshiway.net
  • Direct secure messaging: alexander.georgakis@direct.signature.masshiway.net
  • Direct secure messaging: alexis.manzella@direct.signature.masshiway.net
  • Direct secure messaging: alfred.tanglao@direct.signature.masshiway.net
  • Direct secure messaging: ali.jon@direct.signature.masshiway.net
  • Direct secure messaging: ali.niakosari@direct.signature.masshiway.net
  • Direct secure messaging: alice.emmanuel@direct.signature.masshiway.net
  • Direct secure messaging: alireza.nezhad@direct.signature.masshiway.net
  • Direct secure messaging: alireza.toossi@direct.signature.masshiway.net
  • Direct secure messaging: aliya.jiwani@direct.signature.masshiway.net
  • Direct secure messaging: 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.

View all 556

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

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.

Verify at the official NPI Registry.