Bernard Jules
Individual provider Active NPI Driver · Brockton, MA
NPI 1992678023 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1992678023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- S69112898 (MA)
- Practice address
- 40 Calypso Dr
Brockton, MA 02301-2973 - Phone
- (774) 240-2286
- NPI assigned
- Sep 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S69112898 | MA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | S69112898 | MA | Yes |
Addresses
Primary practice location
40 Calypso Dr
Brockton, MA 02301-2973
Mailing address
67 Richard St
Brockton, MA 02301-4641
Phone (774) 240-2286
NPI Registry JSON
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1992678023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 RICHARD ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014641",
"telephone_number": "774-240-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CALYPSO DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012973",
"telephone_number": "774-240-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULES",
"first_name": "BERNARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "MA",
"license": "S69112898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.