BROCKTON UROLOGY CLINIC INC – NPI #1336147438
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

BROCKTON UROLOGY CLINIC INC is an urologist located in NORTH EASTON, MA. NPPES has assigned the NPI number 1336147438 to BROCKTON UROLOGY CLINIC INC on July 12, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 UROLOGY CLINIC INC below.

NPI Profile for
BROCKTON UROLOGY CLINIC INC

NPI Number
1336147438
Enumeration Date

(about 21 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
BROCKTON UROLOGY CLINIC INC
Primary location
31 ROCHE BROS WAY
SUITE 100
NORTH EASTON, MA 02356-1032
Phone: (508) 238-0800 Fax: (508) 238-0882
Mailing address
340 MAIN ST
SUITE 670
WORCESTER, MA 01608-1604
Phone: (508) 754-3566 Fax: (508) 798-8012
Organization Subpart
No
Authorized Official
RICHARD MCARDLE
PRESIDENT
Phone: (508) 583-4922
Updated
Identifiers

Identifiers for BROCKTON UROLOGY CLINIC INC

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
MEDICAIDMA9739297
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
208800000X
- Urology (Primary)
MA

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.