Individual provider Active NPI

Amanda Meister Gale, PA-C

  • Physician Assistant
  • Brockton, MA
National Provider Identifier
1619373958
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5172 Issued in MA
Practice address
1 Pearl St
Suite 2000
Brockton, MA 02301-2864
Phone
(617) 638-8413
Fax
(617) 638-8607
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5172 MA Primary

Addresses

Primary practice location

1 Pearl St
Suite 2000
Brockton, MA 02301-2864

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

11 Nevins St Ste 201
Brighton, MA 02135-3514
Phone (617) 779-6382

Other practice location 2

1 Boston Medical Center Place
C500
Boston, MA 02118-2308
Phone (617) 638-8609

Other practice location 3

1 Pearl St Ste 2000
Brockton, MA 02301-2870
Phone (617) 789-2375

Other identifiers 1

IdentifierTypeStateIssuer
110109790AMedicaidMA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825004179 MA Practitioner - Physician Assistant 8325354178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA5172MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University General Surgical Associates, Inc.-QMC CurrentSince Jan 5, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 25, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 25, 2024 Accepting new patients
Boston University Cardiac and Thoracic Surgical Foundation, Inc. Past Accepting new patients

Locations

1 Boston Medical Ctr Pl
#C500
Boston, MA 02118
Phone (617) 638-8605

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

732 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 638-5350

732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Brockton, MA 02301
Phone (508) 586-3600

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

1 Pearl St
Ste 2000
Brockton, MA 02301
Phone (508) 584-4104

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

Interoperability endpoints

  • Direct secure messaging: ameister83308@direct.bmc.masshiway.net
  • Direct secure messaging: amanda.gale.1@2017.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1619373958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST",
            "address_2": "SUITE 2000",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012864",
            "telephone_number": "617-638-8413",
            "fax_number": "617-638-8607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Nevins St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021353514",
            "country_code": "US",
            "telephone_number": "617-779-6382",
            "fax_number": "617-789-2307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Boston Medical Center Place",
            "address_2": "C500",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182308",
            "country_code": "US",
            "telephone_number": "617-638-8609",
            "fax_number": "617-638-8607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Pearl St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023012870",
            "country_code": "US",
            "telephone_number": "617-789-2375",
            "fax_number": "617-789-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALE",
        "first_name": "AMANDA",
        "middle_name": "MEISTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110109790A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.