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BROCKTON RADIATION ONCOLOGY
NPI 1639342595
Radiology - Radiation Oncology in Brockton, MA

Active since April 10, 2008
680 CENTRE ST, BROCKTON, MA 02302(401) 521-9700 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1639342595
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameBROCKTON RADIATION ONCOLOGY
Location Address680 CENTRE STBrockton, MA 02302-3308
Mailing AddressPo Box 10050Manhattan Beach, CA 90267-7550 · (310) 335-4056 · Fax (310) 335-4098
Phone(401) 521-9700
Organization SubpartNo
Authorized OfficialNicklas B OldenburgMedical Director · (401) 521-9700
Enumeration DateApril 10, 2008
Last NPPES UpdateJune 21, 2018
✔ NPI 1639342595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
680 CENTRE ST, Brockton, MA 02302
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Other Identifiers 2

Medicaid110081865AMA
OtherDP1017MA · Rr Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 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.

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.