DR. BRIAN P O'SULLIVAN (NPI# 1306820014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306820014 |
| Entity Type | Individual |
| Full Name | DR. BRIAN P O'SULLIVAN |
| Credential | M.D. |
| Practice Address |
5 Washington Pl Department of Pediatric Pulmonology Bedford NH 03110-6736 |
| Mailing Address |
5 Washington Pl Bedford NH 03110-6736 |
| Practice Telephone | 6036952790 |
| Practice Fax Number | 6036291785 |
| Mailing Telephone | 6036952790 |
| Mailing Fax Number | 6036291785 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
16770 | NH | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
52083 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 6175368 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801926662 | Brian P O'sullivan | Internal Medicine | 5555 E Arapahoe Rd, Centennial, CO 80122-2312 | 2007-03-07 |
| 1285788695 | Brian O'sullivan | Social Worker | 178 Savin St, Suite 200, Malden, MA 02148-2329 | 2007-01-22 |
| Street Address |
5 WASHINGTON PL DEPARTMENT OF PEDIATRIC PULMONOLOGY |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689657355 | Peter Spencer Heyl | Obstetrics & Gynecology | 5 Washington Pl, 3rd Floor, Bedford, NH 03110-6736 | 2005-11-27 |
| 1417579277 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 5 Washington Pl, Bedford, NH 03110-6736 | 2020-05-14 |
| 1093365744 | Amy L Morissette | Nurse Practitioner | 5 Washington Pl, Bedford, NH 03110-6736 | 2019-09-16 |
| 1437710944 | Dd Deurell Travers | Family Medicine | 5 Washington Pl, Bedford, NH 03110-6736 | 2019-06-25 |
| 1821571886 | Thandiwe Dhliwayo | Registered Nurse | 5 Washington Pl, Bedford, NH 03110-6736 | 2018-09-14 |
| 1568979425 | Sarah J Jacobson | Dietitian, Registered | 5 Washington Pl, Bedford, NH 03110-6736 | 2018-01-01 |
| 1942711874 | Cassandra Lynne Montminy | Advanced Practice Midwife | 5 Washington Pl, Bedford, NH 03110-6736 | 2017-10-18 |
| 1992214969 | Kathrine Yvonne Krupnik | Advanced Practice Midwife | 5 Washington Pl, Bedford, NH 03110-6736 | 2017-09-21 |
| 1578932224 | Emily Proulx | Nurse Practitioner | 5 Washington Pl, Bedford, NH 03110-6736 | 2015-09-23 |
| 1033586268 | Kathleen January | Genetic Counselor, MS | 5 Washington Pl, 364, Bedford, NH 03110-6736 | 2015-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649568700 | Elliot Professional Services | Pediatrics | 275 Mammoth Rd Ste 1, Elliot Pediatric Pulmonary Medicine, Manchester, NH 03109-4133 | 2011-07-11 |
| 1306956750 | Margaret F. Guill | Pediatrics | 1 Medical Center Dr, Dhmc Department of Pediatrics, Lebanon, NH 03756-1000 | 2006-08-30 |
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| 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.