Daniel L Bohl (NPI# 1477579795, PAC ID# 6204841851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1477579795 |
| PAC ID by PECOS | 6204841851 |
| Professional Enrollment ID | I20080724000129 |
| Full Name | Daniel L Bohl |
| Organization Legal Name | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| Address |
110 Liberty St Brockton MA 02301-5521 |
| Phone Number | 5088940400 |
| Gender | M |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 7719876267 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220052 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL |
| 220073 | MORTON HOSPITAL |
| 220111 | GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 360 Brockton Ave, Abington, MA 02351-2186 | 7818781700 | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| 110 Liberty St, Brockton, MA 02301-5521 | 5088940400 | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| 650 Centre St, Brockton, MA 02302-3308 | 5085808682 | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| 680 Centre St, Brockton, MA 02302-3308 | 5089417000 | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| 76 Campanelli Industrial Dr, Brockton, MA 02301-1809 | 5085870700 | ASSOCIATES IN NEPHROLOGY, PC |
| Organization Legal Name | SIGNATURE HEALTHCARE MEDICAL GROUP INC |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharmila Srinivasan | Ophthalmology | Signature Healthcare Medical Group Inc | 179 Quincy St, Suite 3, Brockton, MA 02302-2966 |
| Sarah Bremer | Physician Assistant | Signature Healthcare Medical Group Inc | 130 Quincy Ave, Brockton, MA 02302-2803 |
| Stanley F Gould | Obstetrics/gynecology | Signature Healthcare Medical Group Inc | 505 Bedford St, Bridgewater, MA 02324-3117 |
| Kateri I Mccarthy | Family Medicine | Signature Healthcare Medical Group Inc | 545 Bedford St, Bridgewater, MA 02324-3117 |
| Krystine Kelley | Nurse Practitioner | Signature Healthcare Medical Group Inc | 430 Liberty St, Suite 7, Hanson, MA 02341-1113 |
| Kristina M Anderson | Nurse Practitioner | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Marc Scott Spiegel | Podiatry | Signature Healthcare Medical Group Inc | 1215 Broadway, Raynham, MA 02767-1942 |
| Haroon Zubair | Internal Medicine | Signature Healthcare Medical Group Inc | 650 Centre St, Brockton, MA 02302-3308 |
| George W Lovett | Dermatology | Signature Healthcare Medical Group Inc | 1300 Belmont St, Brockton, MA 02301-4433 |
| Tutasi K Waters | Obstetrics/gynecology | Signature Healthcare Medical Group Inc | 31 Roche Brothers Way, North Easton, MA 02356-1032 |
| Street Address |
110 LIBERTY ST |
| City | BROCKTON |
| State | MA |
| Zip | 02301-5521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina M Anderson | Nurse Practitioner | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Rena B Levy | Nurse Practitioner | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| John Croke Jr. | Dermatology | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Inna Aleksandrovna Wegner | Physician Assistant | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Jeffrey I Gassman | Orthopedic Surgery | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Lina Rios | Family Medicine | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Tara Samantha Swim | Physical Medicine and Rehabilitation | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Anna Zinchenko | Nurse Practitioner | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Stephen Pidgeon | Podiatry | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Elisabeth K Nahill | Nurse Practitioner | Signature Healthcare Medical Group Inc | 110 Liberty St, Brockton, MA 02301-5521 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andris Jason Zauls | Radiation Oncology | Steward Good Samaritan Radiation Oncology Center, Inc. | 818 Oak St, Good Samaritan Radiation Oncology Center, Brockton, MA 02301-1107 |
| Jan Amorello | Nurse Practitioner | Steward Good Samaritan Radiation Oncology Center, Inc. | 818 Oak St, Good Samaritan Radiation Oncology Center, Brockton, MA 02301-1107 |
| Zwi Hoch | Obstetrics/gynecology | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | |
| Richard P Junghans | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Jennifer Frangos | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Barry M Arkin | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Diane M Paggioli | Medical Oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Scott M Bortman | Internal Medicine | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Richard J Catrambone | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Valentina Moirangthem | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Suite 105w, Brockton, MA 02301-1168 |
| Find all physicians in zip 02301 | |||
| City | BROCKTON |
| Zip Code | 02301 |
| Specialty | NEPHROLOGY |
| City + Specialty | BROCKTON + NEPHROLOGY |
Please comment or provide details below to improve the information on Daniel L Bohl.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.