GOOD SAMARITAN MEDICAL PRACTICE CORP
NPI 1285625137
Specialist in Brockton, MA

NPI Status: Active since October 31, 2005

Contact Information

235 N PEARL ST
GOOD SAMARITAN MEDICAL CENTER
BROCKTON, MA
ZIP 02301
Phone: (617) 562-5482
Fax: (617) 562-5415

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  • Organization
  • Specialist
  • CLIA Number: 22D0080440
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 07-26-2027

About GOOD SAMARITAN MEDICAL PRACTICE CORP

This page provides the complete NPI Profile along with additional information for Good Samaritan Medical Practice Corp, a provider established in Brockton, Massachusetts operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1285625137 assigned on October 2005. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Good Samaritan Medical Practice Corp operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. John J Holiver (Director)

NPI
1285625137
Provider Name
GOOD SAMARITAN MEDICAL PRACTICE CORP
Entity Type
Organization
Location Address
235 N PEARL ST GOOD SAMARITAN MEDICAL CENTER BROCKTON, MA 02301
Location Phone
(617) 562-5482
Location Fax
(617) 562-5415
Mailing Address
77 WARREN ST PROVIDER ENROLLMENT BRIGHTON, MA 02135
Mailing Phone
(617) 562-5482
Mailing Fax
(617) 562-5415
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN J HOLIVER

Authorized Official Title
DIRECTOR
Authorized Official Phone
(617) 562-5482

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9779213MEDICAID (05)MA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0080440
Facility Type
Hospital
Certificate Effective Date
July 27, 2025
Certificate Expiration Date
July 26, 2027
Laboratory Director
DR. LORI H. ADCOCK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Good Samaritan Medical Practice Corp on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285625137, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 2 + 2 + 1 + 0 + 1 + 6 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1285625137.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Nurse Practitioner
235 N PEARL ST
BROCKTON, MA 02301
Psychiatry & Neurology (Psychiatry)
235 N PEARL ST, GOOD SAMARITAN HOSPITAL
BROCKTON, MA 02301
Pediatrics (Neonatal-Perinatal Medicine)
235 N PEARL ST
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Internal Medicine (Cardiovascular Disease)
235 N PEARL ST
BROCKTON, MA 02301
Pathology (Anatomic Pathology & Clinical Pathology)
235 N PEARL ST, ATTN: PATHOLOGY DEPT
BROCKTON, MA 02301
Pathology (Anatomic Pathology & Clinical Pathology)
235 N PEARL ST, ATTN PATHOLOGY DEPT
BROCKTON, MA 02301
Pathology (Anatomic Pathology & Clinical Pathology)
235 N PEARL ST, ATTN PATHOLOGY DEPT
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Nurse Practitioner
235 N PEARL ST
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285625137, enumerated as an "organization" on October 31, 2005.

The provider is located at 235 N PEARL ST GOOD SAMARITAN MEDICAL CENTER BROCKTON, MA 02301 and the phone number is (617) 562-5482.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.