Individual provider Active NPI

William Thomas Bennett, D.O.

  • Emergency Medicine Physician
  • Brockton, MA
National Provider Identifier
1528041365
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
234083 Issued in MA
Practice address
235 N Pearl St
Brockton, MA 02301-1794
Phone
(508) 427-3000
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 234083 MA Primary

Addresses

Primary practice location

235 N Pearl St
Brockton, MA 02301-1794

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Phone (617) 414-5405

Other practice location 1

211 Park St
Attleboro, MA 02703-3137
Phone (508) 222-5200

Other practice location 2

1 Compass Way Ste 102
East Bridgewater, MA 02333-1464
Phone (508) 350-2100

Other practice location 3

111 Brewster Street
Memorial Hospital of Rhode Island
Pawtucket, RI 02860-1400
Phone (401) 729-2000

Other identifiers 1

IdentifierTypeStateIssuer
S400429510OtherMAMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000521 MA Practitioner - Emergency Medicine 2567487424 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
234083MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Oct 2, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 2, 2017 Accepting new patients
South Shore Health Express, Inc CurrentSince Sep 1, 2018 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
BMC Affiliated Physicians, Inc. Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
South Shore Health Express, Inc CurrentSince Sep 1, 2018 Accepting new patients
South Shore Health Express, Inc Current Accepting new patients
Steward Medical Group, Inc. Past Accepting new patients
Steward Medical Group, Inc PastSince Jul 1, 2017 Accepting new patients
Memorial Hospital Emergency Medicine Past Accepting new patients
Sturdy Health, Inc. Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

960 Massachusetts Ave
Ste 2
Boston, MA 02118

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

70 East St
Methuen, MA 01844
Phone (978) 682-1906

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

59 Long Pond Rd
Plymouth, MA 02360
Phone (781) 626-5180

119 Parkingway
Quincy, MA 02169
Phone (781) 626-5160

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

330 Washington St
Weymouth, MA 02188
Phone (781) 248-8962

Interoperability endpoints

  • Direct secure messaging: wbennett259736@direct.bmc.masshiway.net

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1528041365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690",
            "telephone_number": "617-414-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Park St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027033137",
            "country_code": "US",
            "telephone_number": "508-222-5200",
            "fax_number": "508-236-7043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Compass Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "East Bridgewater",
            "state": "MA",
            "postal_code": "023331464",
            "country_code": "US",
            "telephone_number": "508-350-2100",
            "fax_number": "508-350-2314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Brewster Street",
            "address_2": "Memorial Hospital of Rhode Island",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028601400",
            "country_code": "US",
            "telephone_number": "401-729-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "234083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S400429510",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.