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SIGNATURE HEALTHCARE BROCKTON HOSPITAL
NPI 1063431286
General Acute Care Hospital in Brockton, MA

Active since July 19, 2006CLIA Certified · 3 labs
680 CENTRE ST, BROCKTON, MA 02302(508) 941-7000 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2023, Nov 18, 2022, Mar 4, 2022 and 4 more (7 updates tracked since 2017).

About Signature Healthcare Brockton Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIGNATURE HEALTHCARE BROCKTON HOSPITAL (NPI 1063431286) is a healthcare organization registered as a general acute care hospital in Brockton, Massachusetts and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Robert Joseph Haffey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063431286
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameBROCKTON HOSPITAL, INC.
Location Address680 CENTRE STBrockton, MA 02302-3308
Mailing Address680 Centre StBrockton, MA 02302-3395 · (508) 941-7555 · Fax (508) 941-6303
Phone(508) 941-7000
Organization SubpartNo
Authorized OfficialRobert Joseph HaffeyCeo · (508) 941-7000
Enumeration DateJuly 19, 2006
Last NPPES UpdateNovember 2, 20237 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1063431286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in MA · 2118
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
680 CENTRE ST, Brockton, MA 02302
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Other Names 1

Doing Business AsSignature Healthcare Brockton Hospital

Other Identifiers 3

Medicaid110026502BMA
OtherM15998MA · Bcbs Group
Medicaid110026502CMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 22D0693478

Signature Healthcare Brockton Hospital · Brockton, MA
Active · expires Mar 14, 2027
CLIA Number22D0693478
Laboratory TypeHospital
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorDr. Garrey T. Faller
Laboratory Phone(508) 941-7410
Laboratory LocationSignature Healthcare Brockton Hospital680 Centre St, Brockton, MA 02302
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 22D0930271

Signature Healthcare Brockton Hospital · Brockton, MA
Active · expires Jul 2, 2027
CLIA Number22D0930271
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorEngel Bido
Laboratory Phone(508) 971-7268
Laboratory LocationSignature Healthcare Brockton Hospital130 Quincy Ave, Brockton, MA 02302
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 22D2097124

Signature Health Brockton Hospital · Brockton, MA
Active · expires Nov 13, 2026
CLIA Number22D2097124
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDr. Garrey T. Faller
Laboratory Phone(508) 941-7421
Laboratory LocationSignature Health Brockton Hospital25 Libby St, Brockton, MA 02302
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUIS D. GOTTLIEB M.D.
Internal Medicine
680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302
Plymouth County (508) 941-7065
MS. JAMIE CHYAT PA-C
Physician Assistant
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7000
BRANDEN M TURNER LMHC
Counselor (Mental Health)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
CARLY ALEXANDRA CARLIN MD
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
DR. ANGEL TAYLOR MD
Student in an Organized Health Care Education/Training Program
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 974-7000
DR. DESIREE A CARLSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302
Plymouth County (508) 941-7414
DEMIN MA M.D.
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
JENNIFER L. BUNKER
Social Worker
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brockton Hospital, Inc.'s NPI number?

The NPI number for Brockton Hospital, Inc. is 1063431286. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Signature Healthcare Brockton Hospital.

Where is Brockton Hospital, Inc. located?

Brockton Hospital, Inc. is located at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7000.

What is Brockton Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Brockton Hospital, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Brockton Hospital, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Brockton Hospital, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brockton Hospital, Inc. was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.