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

LicenseStateTypeSpecialty
S69112898MAMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 25, 2025.

{
    "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

All providers in Brockton, MA · Driver in Massachusetts

Sources for this page

Verify at the official NPI Registry.