Douglas R Grogan Jr.
BETHEL MEDICAL GROUP PC


Address: 111 Torrey St, Brockton, MA 02301-4800
Phone: 5085881200

Douglas R Grogan Jr. (NPI# 1962516757, PAC ID# 2668374711) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1962516757
PAC ID by PECOS 2668374711
Professional Enrollment ID I20050324000853
Full Name Douglas R Grogan Jr.
Organization Legal Name BETHEL MEDICAL GROUP PC
Address 111 Torrey St
Brockton
MA 02301-4800
Phone Number 5085881200
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 1975
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4688576721
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
220111 GOOD SAMARITAN MEDICAL CENTER
220100 SOUTH SHORE HOSPITAL
220052 SIGNATURE HEALTHCARE BROCKTON HOSPITAL

Other Locations

Address Phone Organization
111 Torrey St, Brockton, MA 02301-4800 5085881200 BETHEL MEDICAL GROUP PC

Organization Information

Organization Legal Name BETHEL MEDICAL GROUP PC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Jennifer Hall Difalco Family Medicine Bethel Medical Group PC 111 Torrey St, Brockton, MA 02301-4800

Office Location

Street Address 111 TORREY ST
City BROCKTON
State MA
Zip 02301-4800

Physicians in the same location

Name Specialty Organization Address
Kristina R Shepherd Certified Nurse Midwife (cnm) Health Imperatives Inc 111 Torrey St, Brockton, MA 02301-4800
Theresa Marie Wilson Clinical Social Worker Gosnold, Inc. 111 Torrey St, Suite 3, Brockton, MA 02301-4800
Jennifer Hall Difalco Family Medicine Bethel Medical Group PC 111 Torrey St, Brockton, MA 02301-4800

Physicians in the same zip code

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

Competitor

Search similar physicians

City BROCKTON
Zip Code 02301
Specialty FAMILY MEDICINE
City + Specialty BROCKTON + FAMILY MEDICINE

Improve Information

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Dataset Information

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.

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