Healthcare Provider Details

I. General information

NPI: 1508170820
Provider Name (Legal Business Name): ERIC HYMAN GROVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 CENTRE ST
BROCKTON MA
02302-3308
US

IV. Provider business mailing address

83 HERRICK ST STE 1001
BEVERLY MA
01915-2753
US

V. Phone/Fax

Practice location:
  • Phone: 508-894-0400
  • Fax:
Mailing address:
  • Phone: 978-922-2226
  • Fax: 978-922-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberMD32966
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number286152
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD20174
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number17423
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: