Brockton Hospital Specialty Physician Group
NPI 1174560304 · Internal Medicine Physician · Brockton, MA
Brockton Hospital Specialty Physician Group is a Internal Medicine Physician organization in Brockton, MA (NPI 1174560304).
Provider details
- NPI number
- 1174560304
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eugene Wallace, Ceo(508) 941-7062
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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 Healthcare Brockton Hospital
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2009-12-22
Frequently asked questions
- What is Brockton Hospital Specialty Physician Group's NPI number?
- Brockton Hospital Specialty Physician Group's National Provider Identifier (NPI) is 1174560304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brockton Hospital Specialty Physician Group?
- Brockton Hospital Specialty Physician Group is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Brockton Hospital Specialty Physician Group located?
- Brockton Hospital Specialty Physician Group's practice location on file with NPPES is 680 Centre St, Brockton, MA 02302-3308.
- What is Brockton Hospital Specialty Physician Group's phone number?
- The practice phone number listed in the NPPES registry for Brockton Hospital Specialty Physician Group is (508) 941-7062.
- Who is the authorized official for Brockton Hospital Specialty Physician Group?
- The authorized official listed on Brockton Hospital Specialty Physician Group's NPPES record is Eugene Wallace, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brockton Hospital Specialty Physician Group's NPI active?
- Yes — Brockton Hospital Specialty Physician Group's NPI (1174560304) is active in the NPPES registry as of the last update on 2009-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.