Individual provider Active NPI

Christopher Bernard Rabidou

  • Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1841706249
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2320261 Issued in MA
Practice address
176 Quincy Ave
Brockton, MA 02302-2803
Phone
(508) 894-0575
Fax
(508) 941-6446
NPI assigned
Dec 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2320261 MA
Nurse Practitioner 363L00000X RN2320261 MA Primary

Addresses

Primary practice location

176 Quincy Ave
Brockton, MA 02302-2803

Mailing address

176 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 894-0575

Other practice location 1

780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1000

Other practice location 2

360 Brockton Ave
Abington, MA 02351-2186
Phone (508) 894-0575

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120002978 MA Practitioner - Nurse Practitioner 6507298015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

360 Brockton Ave
Abington, MA 02351-2186
Phone (781) 878-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2320261MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Services, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Harbor Health Services, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Mar 25, 2025 Accepting new patients

Locations

360 Brockton Ave
Abington, MA 02351
Phone (781) 878-1700

176 Quincy Ave
Brockton, MA 02302
Phone (508) 587-5000

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

398 Neponset Ave
Dorchester, MA 02122
Phone (617) 282-3200

735 Attucks Ln
Hyannis, MA 02601
Phone (508) 778-0300

1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300

Interoperability endpoints

  • Direct secure messaging: crabidou224862@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1841706249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 QUINCY AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022803",
            "telephone_number": "508-894-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 QUINCY AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022803",
            "telephone_number": "508-894-0575",
            "fax_number": "508-941-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182755",
            "country_code": "US",
            "telephone_number": "857-654-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "MA",
            "postal_code": "023512186",
            "country_code": "US",
            "telephone_number": "508-894-0575",
            "fax_number": "508-941-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABIDOU",
        "first_name": "CHRISTOPHER",
        "middle_name": "BERNARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2320261",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2320261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.