NPIMap

Individual provider Active NPI

Arthur Ralph Bregoli Jr., M.D.

  • Internal Medicine Physician
  • Braintree, MA
National Provider Identifier
1801863196
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77050 Issued in MA
Practice address
400 Washington St
Braintree, MA 02184-4729
Phone
(781) 849-7330
Fax
(781) 356-7599
NPI assigned
Mar 5, 2006
Last updated
Jul 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 77050 MA Primary

Addresses

Primary practice location

400 Washington St
Braintree, MA 02184-4729

Mailing address

116 Monatiquot Ave
Braintree, MA 02184-3927
Phone (781) 848-7242

Other identifiers 1

IdentifierTypeStateIssuer
3104982MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000081 MA Practitioner - Internal Medicine 9032151733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthur R Bregoli Jr MD PCGroup PAC ID 9931413945, 3 clinicians

Practice addresses (Care Compare)

400 Washington St
Suite 402
Braintree, MA 02184-4767
Phone (781) 849-7330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77050MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur R Bregoli Jr MD PC CurrentSince Jun 29, 2015 Accepting new patients
Caritas Medical Group, Inc. PastSince Mar 1, 2007 Accepting new patients
Bane Harbor House, LLC Past Accepting new patients
Bane John Scott, LLC Past Accepting new patients
William B Rice Eventide Home Past Accepting new patients
Bane Bay Path, LLC Past Accepting new patients
Southwood at Norwell Nursing Center Past Accepting new patients

Locations

400 Washington St
Ste 402
Braintree, MA 02184
Phone (781) 849-7330

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1801863196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MONATIQUOT AVE",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843927",
            "telephone_number": "781-848-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844729",
            "telephone_number": "781-849-7330",
            "fax_number": "781-356-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREGOLI",
        "first_name": "ARTHUR",
        "middle_name": "RALPH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "77050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104982",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.