Active NPI
David Alvarez-Morales, MD
- Pediatrics Physician
- Brockton, MA
National Provider Identifier
1790763324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 73816
- Practice address
- 179 Quincy St
Brockton, MA 02302-2959 - Phone
- (508) 427-7700
- Fax
- (508) 427-7755
- NPI assigned
- Jan 4, 2006
- 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 | 73816 | MA | Primary |
Addresses
Primary practice location
179 Quincy St
Brockton, MA 02302-2959
Mailing address
220 Hancock St
Abington, MA 02351-1518
Phone (781) 982-1021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9780122 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200324001244 | MA | Practitioner - Pediatric Medicine | 5597193656 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73816 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317427200000",
"number": "1790763324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HANCOCK ST",
"city": "ABINGTON",
"state": "MA",
"postal_code": "023511518",
"telephone_number": "781-982-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022959",
"telephone_number": "508-427-7700",
"fax_number": "508-427-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ-MORALES",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2011-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "73816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9780122",
"state": "MA"
}
],
"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 Oct 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.