BROCKTON DIALYSIS CENTER – NPI #1265441224
Clinic/Center

BROCKTON DIALYSIS CENTER is an AHC clinic located in BROCKTON, MA. NPPES has assigned the NPI number 1265441224 to BROCKTON DIALYSIS CENTER on August 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROCKTON DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 16 years ago on Jan 19, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROCKTON DIALYSIS CENTER below.

NPI Profile for
BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.

NPI Number
1265441224
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC.
Doing Business As (dba): BROCKTON DIALYSIS CENTER
Primary location
375 WESTGATE DRIVE
BROCKTON, MA 02301
Phone: (508) 586-2791 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - BROCKTON DIALYSIS CENTER is subpart of another organization.
Authorized Official
MARK FAWCETT
TREASURER
Phone: (781) 699-9000
Updated
Identifiers

Identifiers for BROCKTON DIALYSIS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA1303309
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.