Active NPI
Alphonse Wilfred, M.D.
- Internal Medicine Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 56163
- Practice address
- 130 Quincy Ave
Brockton, MA 02302-2803 - Phone
- (508) 941-7268
- Fax
- (508) 941-7850
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56163 | MA | Primary |
Addresses
Primary practice location
130 Quincy Ave
Brockton, MA 02302-2803
Mailing address
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3067645 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Boston University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56163 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts II PC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current | Accepting new patients |
| Curahealth Stoughton, LLC | Past | Accepting new patients |
Locations
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
800 Washington St
Norwood, MA 02062
Phone (781) 278-6264
909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480
Interoperability endpoints
- awilfred19762@direct.southcoast.org
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1306376397
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
-
- Long Term Care Hospital
- Stoughton, MA
- NPI 1053762484
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- Long Term Care Hospital
- Stoughton, MA
- NPI 1053762484
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1518990829",
"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": "508-941-7009",
"fax_number": "508-941-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 QUINCY AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022803",
"telephone_number": "508-941-7268",
"fax_number": "508-941-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILFRED",
"first_name": "ALPHONSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "56163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3067645",
"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 May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.