Active NPI
Brockton Cardiology Associates, PC
- Cardiovascular Disease Physician
- Brockton, MA
National Provider Identifier
1790874352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- BROCKTON CARDIOLOGY ASSOCIATES, PC
- Practice address
- 210 Quincy Ave
Brockton, MA 02302-2862 - Phone
- (508) 583-6262
- Fax
- (508) 583-1783
- NPI assigned
- Oct 12, 2006
- 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
- Andrew L Kriegel, M.D.
- Title
- President
- Phone
- (508) 583-6262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
210 Quincy Ave
Brockton, MA 02302-2862
Mailing address
210 Quincy Ave
Brockton, MA 02302-2862
Phone (508) 583-6262
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9769153 | Medicaid | MA | |
| M15659 | Other | MA | BCBS GROUP # |
| 122415 | Other | MA | AETNA GROUP # |
| 25227 | Other | MA | UNITED GROUP # |
| 600871 | Other | MA | TUFTS GROUP # |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Sleep Disorder Diagnostic Clinic/Center
- Brockton, MA
- NPI 1346417151
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Brockton, MA
- NPI 1417904202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790874352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 QUINCY AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022862",
"telephone_number": "508-583-6262",
"fax_number": "508-583-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 QUINCY AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023022862",
"telephone_number": "508-583-6262",
"fax_number": "508-583-1783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROCKTON CARDIOLOGY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRIEGEL",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-583-6262",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9769153",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "M15659",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP #",
"identifier": "122415",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED GROUP #",
"identifier": "25227",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP #",
"identifier": "600871",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
- Brockton Adult Medical Day Care Center II, Inc
- Brockton Adult Medical Day Care Center, Inc
- Brockton Area Associaton for Retarded Citizens, Inc
- Brockton Area Multi-Services, Inc.
- Brockton Area Multi-Services, Inc.
- Brockton Dental and Orthodontics PC
- Brockton Dental Group P.C.
- Brockton Dialysis Center LLC
- Brockton Family Dental Inc.
- Brockton Health Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.