BROCKTON RADIATION ONCOLOGY
NPI 1639342595
Radiology - Radiation Oncology in Brockton, MA
About Brockton Radiation Oncology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROCKTON RADIATION ONCOLOGY (NPI 1639342595) is a healthcare organization registered as a radiation oncology in Brockton, Massachusetts and active in the NPI registry since April 2008. The organization lists Nicklas B Oldenburg, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brockton Radiation Oncology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Brockton Radiation Oncology, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Boston, MA 02115
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Radiation Oncology's NPI number?
The NPI number for Brockton Radiation Oncology is 1639342595. It was assigned to this organization in the NPPES registry on April 10, 2008.
Where is Brockton Radiation Oncology located?
Brockton Radiation Oncology is located at 680 Centre St, Brockton, MA 02302. The listed phone number is (401) 521-9700.
What is Brockton Radiation Oncology's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Brockton Radiation Oncology enrolled in Medicare?
Yes. Brockton Radiation Oncology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brockton Radiation Oncology?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Radiation Oncology, reassign their Medicare billing to Brockton Radiation Oncology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Brockton Radiation Oncology was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Brockton Radiation Oncology · NPI 1639342595
Radiation Oncology organization in Brockton, Massachusetts. Organization record, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1639342595 (Entity type: Organization)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **Organization subpart:** No
- **Authorized official:** Nicklas Oldenburg, MEDICAL DIRECTOR
## Practice location
- **Address:** 680 CENTRE ST, Brockton, MA 02302-3308
- **Phone:** (401) 521-9700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Radiation Oncology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2018
- **Other identifiers:** Medicaid 110081865A (MA); Other DP1017 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639342595) · Data from the CMS NPPES public registry.