GARY BROCKINGTON (NPI# 1376538983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376538983 |
| Entity Type | Individual |
| Full Name | GARY BROCKINGTON |
| Credential | MD |
| Practice Address |
1153 Centre St Jamaica Plain MA 02130-3446 |
| Mailing Address |
Po Box 9135 Att:sharon Silva Brookline MA 02446-9135 |
| Practice Telephone | 6175225800 |
| Mailing Telephone | 8009270002 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 59672 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3061248 | 05 |
| Street Address |
1153 CENTRE ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837813 | Kasey Lynn Hamel | Physician Assistant | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2019-02-13 |
| 1639649577 | Gabrielle Fischer | Social Worker | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2018-12-04 |
| 1780167791 | Olivia Montgomery | Social Worker | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2018-09-14 |
| 1720577620 | Sharon Giardino | Social Worker | 1153 Centre St, Attn: Department of Psychiatry, Jamaica Plain, MA 02130 | 2018-05-07 |
| 1992209399 | Nicholas Scott Merry | Nurse Practitioner | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2018-03-20 |
| 1649786559 | William Bromstedt | Social Worker | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2017-12-15 |
| 1902334428 | Jessica Carmer Loftus | Social Worker | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2017-05-29 |
| 1649712209 | Tracy Elizabeth Stanton | Physician Assistant | 1153 Centre St, Suite 4n, Jamaica Plain, MA 02130-3446 | 2016-11-14 |
| 1235592833 | Justine Kramer | Physician Assistant | 1153 Centre St, Ste. #5 South, Jamaica Plain, MA 02130-3446 | 2016-03-31 |
| 1154794741 | Paul A Church Md PC | Urology | 1153 Centre St, Suite 5930, Jamaica Plain, MA 02130-3446 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720400146 | Julie Driscoll | Specialist | 299 Lamartine St, Jamaica Plain, MA 02130-2235 | 2014-01-21 |
| 1306018627 | Scanlon Physical Therapy Inc. | Specialist | 722 Centre St, Jamaica Plain, MA 02130-2516 | 2008-03-26 |
| 1780755900 | Matthew Jonathan Carty | Specialist | 1153 Centre Street, Suite 21, Faulkner Hospital, Jamaica Plain, MA 02130 | 2006-11-10 |
| 1205892593 | Michael Aaron Lambert | Specialist | 640 Centre St, Southern Jamaica Plain Health Center, Jamaica Plain, MA 02130-2555 | 2006-04-25 |
| 1497736474 | Christopher Cua | Specialist | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2005-11-08 |
| 1659368165 | Alberto Ramirez | Specialist | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1811595440 | Elite Upper Extremity and Plastic Surgery, Pllc | Specialist | 123 Summer St Ste 550, Worcester, MA 01608-1216 | 2020-10-15 |
| 1285272559 | Michael Anthony Mandella | Specialist | 615 Reservoir Rd, Lunenburg, MA 01462-1540 | 2019-12-17 |
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1427513738 | Arlene L Casassa | Specialist | 271 Pond St, Hopkinton, MA 01748-1509 | 2019-01-31 |
| 1851881767 | Cheryl Ann Borden | Specialist | 51 Country Club Way, Ipswich, MA 01938-3000 | 2018-05-16 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1114426988 | Louise Berit Homstead | Specialist | 108 N Main St Ste A, Sunderland, MA 01375-9502 | 2018-02-07 |
| 1356859425 | Tanya Elaine Lachowicz | Specialist | 19 Agassiz St Apt 1, Cambridge, MA 02140-2826 | 2018-01-11 |
| 1083126338 | Kailash Nagrath | Specialist | 33 Sequattom Road, Harwich, MA 02645 | 2017-10-26 |
| Find all providers with the same taxonomy | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on GARY BROCKINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.