Signature Healthcare Medical Group
NPI 1063655017 · Internal Medicine Physician · Brockton, MA
Signature Healthcare Medical Group is a Internal Medicine Physician organization in Brockton, MA (NPI 1063655017).
Provider details
- NPI number
- 1063655017
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Signature Healthcare Corporation
- Organization subpart
- Yes
- Authorized official
- Eugene Wallace, Cfo(508) 941-7007
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Signature Medical Group
Registry dates
- Enumerated
- 2009-04-07
- Last updated
- 2009-04-07
Frequently asked questions
- What is Signature Healthcare Medical Group's NPI number?
- Signature Healthcare Medical Group's National Provider Identifier (NPI) is 1063655017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Signature Healthcare Medical Group?
- Signature Healthcare Medical Group is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Signature Healthcare Medical Group located?
- Signature Healthcare Medical Group's practice location on file with NPPES is 680 Centre St, Brockton, MA 02302-3308.
- What is Signature Healthcare Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Signature Healthcare Medical Group is (508) 941-7007.
- Who is the authorized official for Signature Healthcare Medical Group?
- The authorized official listed on Signature Healthcare Medical Group's NPPES record is Eugene Wallace, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Signature Healthcare Medical Group's NPI active?
- Yes — Signature Healthcare Medical Group's NPI (1063655017) is active in the NPPES registry as of the last update on 2009-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.