Active NPI
Eduardo Sierra
- Transportation Network Company
- Brockton, MA
National Provider Identifier
1720976871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- License
- S61005536
- Practice address
- 66 Tyler St
Brockton, MA 02302-2766 - Phone
- (617) 642-4774
- NPI assigned
- Jun 26, 2025
- Last updated
- Jun 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | S61005536 | MA | Primary |
Addresses
Primary practice location
66 Tyler St
Brockton, MA 02302-2766
Mailing address
66 Tyler St
Brockton, MA 02302-2766
Phone (617) 642-4774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S61005536 | MA | MD | Transportation Network Company |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1720976871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 TYLER ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022766",
"telephone_number": "617-642-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 TYLER ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022766",
"telephone_number": "617-642-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA",
"first_name": "EDUARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "MA",
"license": "S61005536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
- Peter Sidhom, DO
- Jatinderjeet Sidhu, DMD
- Samantha A Siegel
- William C Siegel, MD
- Sierra Express Medical Delivery LLC (Siemeds)
- Signature Healthcare Medical Group (Signature Medical Group)
- Signature Healthcare Medical Group Inc (Signature Medical)
- Signature Healthcare Medical Group, Inc. (Signature Healthcare Brockton Hospital)
- Signature Healthcare Urgent Care, Inc.
- Signature Healthcare Urgent Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.