Active NPI
Brockton Dialysis Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brockton, MA
National Provider Identifier
1740558618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BROCKTON DIALYSIS CENTER LLC
- Practice address
- 375 Westgate Dr
Brockton, MA 02301-1818 - Phone
- (508) 586-2791
- Fax
- (508) 583-6986
- NPI assigned
- Dec 7, 2011
- Last updated
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Anne Brady
- Title
- Chief Nursing Officer
- Phone
- (208) 371-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
375 Westgate Dr
Brockton, MA 02301-1818
Mailing address
375 Westgate Dr
Brockton, MA 02301-1818
Phone (508) 586-2791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110091941A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120113000337 | MA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5092982165 | Practice locations: Brockton, MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1740558618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 WESTGATE DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011818",
"telephone_number": "508-586-2791",
"fax_number": "508-583-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WESTGATE DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011818",
"telephone_number": "508-586-2791",
"fax_number": "508-583-6986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROCKTON DIALYSIS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-07",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHIEF NURSING OFFICER",
"authorized_official_telephone_number": "208-371-7878"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110091941A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
- Brockton Area Multi-Services, Inc.
- Brockton Area Multi-Services, Inc. (BAMSI Pharmacy)
- Brockton Cardiology Associates, PC
- Brockton Dental and Orthodontics PC
- Brockton Dental Group P.C.
- Brockton Family Dental Inc.
- Brockton Health Center, LLC
- Brockton Healthcare Clinic LLC (Brockton Regional Kidney Center)
- Brockton Healthcare Services LLC
- Brockton Home Health Afc (Brockton Home Health Care AFC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.