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: October 18, 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
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

Other Names 1

Doing Business AsSignature Healthcare Brockton Hospital

Other Identifiers 3

Medicaid110026502BMA
OtherM15998MA · Bcbs Group
Medicaid110026502CMA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Signature Healthcare Brockton Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

81

Medicare enrollment records show 81 clinicians reassign Medicare billing to Signature Healthcare Brockton Hospital, which bills Medicare for the services they deliver. Of these, 35 practice at this address and 46 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Emergency Medicine49
Neurology8
Clinical Social Worker5
Radiation Oncology4
Internal Medicine3
Nurse Practitioner3
Obstetrics/Gynecology2
Psychiatry2
5 other specialties5

Nearest to this location (20)

See all 81
Emergency Medicine
NPI 1467659938
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1922368976
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1710908611
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1790130888
680 CENTRE ST
Brockton, MA 02302
(508) 941-7885
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1275795478
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1902021884
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1225288459
680 CENTRE ST DEPARTMENT OF PATHOLOGY
Brockton, MA 02302
(508) 941-7040
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639459498
680 CENTRE ST
Brockton, MA 02302
(508) 941-7228
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1871029645
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1497076632
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1639496821
680 CENTRE ST
Brockton, MA 02302
(508) 941-7200
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1477949287
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1396771390
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1073136198
680 CENTRE ST
Brockton, MA 02302
(508) 941-7200
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1508170820
680 CENTRE ST
Brockton, MA 02302
(508) 894-0400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598569980
680 CENTRE ST
Brockton, MA 02302
(508) 941-7000
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1346235256
680 CENTRE ST
Brockton, MA 02302
(508) 941-7450
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1619120276
680 CENTRE ST
Brockton, MA 02302
(508) 941-7299
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1740215961
680 CENTRE ST
Brockton, MA 02302
(508) 941-7400
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1093910788
680 CENTRE ST
Brockton, MA 02302
(508) 941-7000
✔ PECOS✔ Accepts MedicareSame address
See all 81 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Brockton Hospital, Inc. enrolled in Medicare?

Yes. Brockton Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brockton Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 81 clinicians in 13 Medicare specialties reassign their Medicare billing to Brockton Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (49), Neurology (8) and Clinical Social Worker (5). Of these, 35 practice at this address and 46 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, Harvard Pilgrim Health Care and Taro Health 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.