SIGNATURE MEDICAL GROUP
NPI 1417932591
Clinic/center, Multi-specialty in Brockton,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 12, 2005

Contact Information

110 Liberty St
Brockton,
Post Code: 02301
Phone: (508) 894-0400
Fax: (508) 565-0157

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Signature Medical Group in Brockton - Clinic/Center, Multi-Specialty

Signature Medical Group is a Clinic/Center, Multi-Specialty in Brockton, . Signature Medical Group practices all healthcare services and medical treatments related to Clinic/Center, Multi-Specialty. The NPI Number for Signature Medical Group is 1417932591. The last update date is 2013-06-18.

Signature Medical Group's current location address is 110 Liberty St, Brockton, . You can contact this provider via phone number (508) 894-0400 and fax number (508) 565-0157. The mailing address for Signature Medical Group is 110 Liberty St, Brockton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1417932591
Provider Legal Name
BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES, INC.
Other Organization Name
SIGNATURE MEDICAL GROUP
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
110 Liberty St, Brockton,
Location Phone
(508) 894-0400
Location Fax
(508) 565-0157
Mailing Address
110 Liberty St, Brockton, Massachusetts(MA)
Mailing Phone
508-894-0400
Mailing Fax
508-565-0157
Enumeration Date
2005-12-12
Last Update Date
2013-06-18
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Multi-Specialty

Taxonomy Code
261QM1300X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110022141E MEDICAID (05) Massachusetts (MA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417932591
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271834518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 24271834518
2 + 4 + 2 + 7 + 1 + 8 + 3 + 4 + 5 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1417932591 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011061 WALTER CARY LETIEN
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413-284-5400
1114920121 RICHARD E BAKER
Individual
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HYANNIS, Massachusetts (MA)
774-470-4507
1346243557 MICHAEL J CORRIGAN
Individual
Urology 49 STATE RD
NORTH DARTMOUTH, Massachusetts (MA)
508-993-7344