Organization Active NPI

Gregory Perron Inc.

  • Chiropractor
  • Brockton, MA
National Provider Identifier
1508990839
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1533 Issued in MA
Legal business name
GREGORY PERRON INC.
Practice address
990 Pleasant St
Brockton, MA 02301-3063
Phone
(508) 588-1300
Fax
(508) 588-3313
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Gregory Peter Perron, D.C.NPI 1326109968
Title
President
Phone
(508) 588-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1533 MA Primary

Addresses

Primary practice location

990 Pleasant St
Brockton, MA 02301-3063

Mailing address

990 Pleasant St
Brockton, MA 02301-3063
Phone (508) 588-1300

Other identifiers 4

IdentifierTypeStateIssuer
Y39126OtherMABLUECROSSBLUESHIELD
778015OtherMATUFTS HEALTH CARE
35421OtherMAHPHC
9782753MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000055 MA Part B Supplier - Clinic/Group Practice 4880767953 Receives reassigned benefits from 1 practitioner
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Locations

990 Pleasant St
Brockton, MA 02301
Phone (508) 588-1300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1508990839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013063",
            "telephone_number": "508-588-1300",
            "fax_number": "508-588-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013063",
            "telephone_number": "508-588-1300",
            "fax_number": "508-588-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY PERRON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PERRON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-588-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "Y39126",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "778015",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "35421",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9782753",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.