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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIGNATURE HEALTHCARE MEDICAL GROUP INC
NPI 1508804949
Internal Medicine in Brockton, MA

Active since June 04, 2006CLIA 22D1011221 · Microscopy
110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, May 19, 2025, Mar 5, 2025 and 6 more (9 updates tracked since 2017).

About Signature Healthcare Medical Group Inc NPPES

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

SIGNATURE HEALTHCARE MEDICAL GROUP INC (NPI 1508804949) is a healthcare organization registered as an internal medicine in Brockton, Massachusetts and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through April 2, 2027 and lists Cynthia Marie Colby, Director, Medical Staff Services, as its authorized official.

NPPES Registry Identity

NPI1508804949
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSIGNATURE HEALTHCARE MEDICAL GROUP INC
Location Address110 LIBERTY STBrockton, MA 02301-5674
Mailing Address680 Centre StBrockton, MA 02302-3308 · (508) 894-0400 · Fax (508) 941-0893
Phone(508) 894-0400
Organization SubpartNo
Authorized OfficialCynthia Marie ColbyDirector, Medical Staff Services · (508) 941-0958
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 5, 20269 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1508804949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 240642
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedHospitalistTaxonomy 208M00000X
110 LIBERTY ST, Brockton, MA 02301
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Other Identifiers 2

Medicaid110072349AMA
OtherM16402MA · Bcbs Group #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 22D1011221

Signature Healthcare Medical Group, Inc Dba Signature Medical Group · North Easton, MA
Active · expires Apr 2, 2027
CLIA Number22D1011221
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorKeith S. Merlin
Laboratory Phone(508) 894-8740
Laboratory LocationSignature Healthcare Medical Group, Inc Dba Signature Medical Group31 Roche Brothers Way, Suite 130, North Easton, MA 02356
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MR. RICHARD DUONG PA-C
Physician Assistant
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 565-3055
MRS. RENA B LEVY MSN, FNP-BC
Nurse Practitioner (Family)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. KEVIN RAYMOND GENDREAU M.D.
Family Medicine (Obesity Medicine)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
XIN HE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. SENA J LEE MD
Dermatology
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 580-1020
NITA MEHTA MD
Ophthalmology
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. TARA SAMANTHA SWIM M.D.
Physical Medicine & Rehabilitation
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 565-3055
NATASHA BITA KHAZAI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400

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 Signature Healthcare Medical Group Inc's NPI number?

The NPI number for Signature Healthcare Medical Group Inc is 1508804949. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Signature Healthcare Medical Group Inc located?

Signature Healthcare Medical Group Inc is located at 110 Liberty St, Brockton, MA 02301. The listed phone number is (508) 894-0400.

What is Signature Healthcare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Signature Healthcare Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D1011221) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Signature Healthcare Medical Group Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Signature Healthcare Medical Group 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 Signature Healthcare Medical Group Inc was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.