Active NPI
James Sherman Weiner, MD
- Pediatrics Physician
- Brockton, MA
National Provider Identifier
1700874450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 37946
- Practice address
- 830 Oak St
Ste 200W
Brockton, MA 02301-1168 - Phone
- (508) 586-7334
- Fax
- (508) 583-7599
- NPI assigned
- Oct 7, 2005
- Last updated
- Feb 10, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 37946 | MA | Primary |
Addresses
Primary practice location
830 Oak St
Ste 200W
Brockton, MA 02301-1168
Mailing address
830 Oak St
Ste 200W
Brockton, MA 02301-1168
Phone (508) 586-7334
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033526 | Medicaid | MA | |
| 0092111 | Other | AETNA | |
| 28872 | Other | FALLON | |
| 30191 | Other | BMC HEALTHNET | |
| 037946 | Other | TUFTS | |
| BW10077101 | Other | CIGNA | |
| M08929 | Other | BLUE CROSS | |
| 20049 | Other | HPHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37946 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Rako MD PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1700874450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 OAK ST",
"address_2": "STE 200W",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011168",
"telephone_number": "508-586-7334",
"fax_number": "508-583-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 OAK ST",
"address_2": "STE 200W",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011168",
"telephone_number": "508-586-7334",
"fax_number": "508-583-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "JAMES",
"middle_name": "SHERMAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "37946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2033526",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0092111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "28872",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "30191",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "037946",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "BW10077101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "M08929",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "20049",
"state": null
}
],
"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 Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.