ANESTHETICS OF BROCKTON, PC
NPI 1790715910
Nurse Anesthetist, Certified Registered in Brockton, MA

Q: What is Anesthetics Of Brockton, PC's NPI number?

The NPI number for Anesthetics Of Brockton, PC is 1790715910. It was assigned to this organization in the NPPES registry on July 4, 2006.

Q: What is Anesthetics Of Brockton, PC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since July 04, 2006

680 CENTRE ST, ANESTHETICS OF BROCKTON, PC, BROCKTON, MA 02302(508) 941-7000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Anesthetics Of Brockton, Pc NPPES

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

ANESTHETICS OF BROCKTON, PC (NPI 1790715910) is a healthcare organization registered as a nurse anesthetist, certified registered in Brockton, Massachusetts and active in the NPI registry since July 2006. The organization lists Fathalla M Mashali, President, as its authorized official.

NPPES Registry Identity

NPI1790715910

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameANESTHETICS OF BROCKTON, PC

Location Address680 CENTRE ST, ANESTHETICS OF BROCKTON, PCBrockton, MA 02302-3308

Mailing Address42 Hemingway DrRiverside, RI 02915-2224 · (401) 490-2130

Phone(508) 941-7000

Organization SubpartNo

Authorized OfficialFathalla M MashaliPresident · (401) 490-2130

Enumeration DateJuly 4, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1790715910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedAnesthesiologyTaxonomy 207L00000X

Other Identifiers 1

Medicaid9750720MA

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

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 Anesthetics Of Brockton, PC's NPI number?

The NPI number for Anesthetics Of Brockton, PC is 1790715910. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Anesthetics Of Brockton, PC located?

Anesthetics Of Brockton, PC is located at 680 Centre St Anesthetics Of Brockton, PC, Brockton, MA 02302. The listed phone number is (508) 941-7000.

What is Anesthetics Of Brockton, PC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Anesthetics Of Brockton, PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.