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

Signature Healthcare Medical Group

Organization Emergency Medicine Physician · NPI 1063655017

Signature Healthcare Medical Group is an Emergency Medicine Physician in Brockton, Massachusetts. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
15
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Practice location Address checks out

680 Centre St
Brockton, MA 02302-3308
Phone: (508) 941-7007
Fax: (508) 941-6338
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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
Emergency Medicine Physician Taxonomy 207P00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Infectious Disease Physician Taxonomy 207RI0200X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
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 number1063655017
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSignature Healthcare Corporation
Authorized official Eugene Wallace — Cfo · (508) 941-7007
Other names Signature Medical Group
NPI enumeratedApril 7, 2009
Last updated in NPPESApril 7, 2009
Mailing address680 Centre St, Brockton, MA 02302-3308

Other providers in Brockton