Active NPI
Paul B Cotter MD PC
- Ophthalmology Physician
- Brockton, MA
National Provider Identifier
1891804852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 43625
- Legal business name
- PAUL B COTTER MD PC
- Practice address
- 179 Quincy St
Brockton, MA 02302 - Phone
- (508) 586-0256
- Fax
- (508) 586-4544
- NPI assigned
- Aug 30, 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
- Dr. Paul Barry Cotter, MD
- Title
- President
- Phone
- (508) 586-0256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 43625 | MA | Primary |
Addresses
Primary practice location
179 Quincy St
Brockton, MA 02302
Mailing address
179 Quincy St
Brockton, MA 02302
Phone (508) 586-0256
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35120000 | Other | MD | DAVIS VISION |
| M13897 | Other | MA | BLUE CROSS AND BLUE SHIEL |
| 9736816 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1891804852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02302",
"telephone_number": "508-586-0256",
"fax_number": "508-586-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 QUINCY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02302",
"telephone_number": "508-586-0256",
"fax_number": "508-586-4544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL B COTTER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "COTTER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "BARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-586-0256",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MA",
"license": "43625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "35120000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "M13897",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9736816",
"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 Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.