Individual provider Active NPI

Alex Varghese, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Brockton, MA
National Provider Identifier
1679788657
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
235898 Issued in MA
Practice address
176 Quincy Ave
Brockton, MA 02302-2803
Phone
(508) 894-0575
Fax
(508) 941-6446
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 235898 MA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 235898 MA Primary

Addresses

Primary practice location

176 Quincy Ave
Brockton, MA 02302-2803

Mailing address

21 George St FL 1
Lowell, MA 01852-2228
Phone (314) 983-9944

Other practice location 1

21 George St
1st Floor
Lowell, MA 01852
Phone (314) 768-8878

Other practice location 2

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

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
I20081009000532 MA Practitioner - Internal MedicinePractitioner - Addiction MedicinePractitioner - Hospitalist 4385712991 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

176 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 941-7766

Hospital & facility affiliations

  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc Internal Medicine CurrentSince May 1, 2026 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 3, 2011 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 3, 2011 Accepting new patients
Dimock Community Health Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
Coastal Medical Associates Addiction Medicine CurrentSince Mar 1, 2017 Accepting new patients
Dimock Community Health Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
Dimock Community Services Corporation Past Accepting new patients

Locations

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

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

176 Quincy Ave
Brockton, MA 02302
Phone (508) 587-5000

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

45 Dimock St
Roxbury, MA 02119

55 Dimock St
Roxbury, MA 02119

150 York St
Stoughton, MA 02072
Phone (781) 297-1101

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

Organizations & group practices 7

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1679788657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GEORGE ST FL 1",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522228",
            "telephone_number": "314-983-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 QUINCY AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022803",
            "telephone_number": "508-894-0575",
            "fax_number": "508-941-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 George St",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "01852",
            "country_code": "US",
            "telephone_number": "314-768-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "235898",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MA",
            "license": "235898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.