Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brockton Hospital Specialty Physician Group

Organization Clinical Social Worker · NPI 1174560304

Brockton Hospital Specialty Physician Group is a Clinical Social Worker in Brockton, Massachusetts. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
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Practice location Address checks out

680 Centre St
Brockton, MA 02302-3308
Phone: (508) 941-7062
Fax: (508) 941-6337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Clinical Social Worker Taxonomy 1041C0700X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Emergency Medicine Physician Taxonomy 207P00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X
Surgery Physician Taxonomy 208600000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1174560304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Wallace — Ceo · (508) 941-7062
Other names Signature Healthcare Brockton Hospital
NPI enumeratedMay 31, 2006
Last updated in NPPESDecember 22, 2009
Mailing addressPo Box 847493, Boston, MA 02284-7493

Other providers in Brockton