BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC (NPI# 1457379984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457379984 |
| Entity Type | Organization |
| Organization Name | BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC |
| Other Organization Name | DBA DEPT OF NEUROLOGY |
| Practice Address |
75 Francis St Boston MA 02115-6110 |
| Mailing Address |
111 Cypress St Brookline MA 02445-6002 |
| Practice Telephone | 6177325500 |
| Mailing Telephone | 6175821200 |
| Mailing Fax Number | 6177132283 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-04-08 |
| Authorized Official Name | MR. WILLIAM C JOHNSTON (CFO) |
| Authorized Official Telephone | 6177132263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians | ||
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS NEUROLOGY GRP # | M17826 | 01 |
| MA | 9709339 | 05 |
| Other Name | Type Code |
|---|---|
| dba Dept of Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669794087 | Brigham and Womens Physicians Organization Inc | Pathology | 75 Francis St, Boston, MA 02115-6110 | 2010-02-26 |
| 1306864830 | Brigham and Womens Physicians Organization Inc | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1588682025 | Brigham and Womens Physicians Organization Inc | Anesthesiology | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1265450704 | Brigham and Womens Physicians Organization Inc | Psychiatry & Neurology | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1104844646 | Brigham and Womens Physicians Organization Inc | Pediatrics | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1013935550 | Brigham and Womens Physicians Organization Inc | Emergency Medicine | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1154348688 | Brigham and Womens Physicians Organization Inc | Transplant Surgery | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1093733537 | Brigham and Womens Physicians Organization Inc | Neurological Surgery | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1235157769 | Brigham and Womens Physicians Organization Inc | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1518985050 | Brigham and Womens Physicians Organization Inc | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| Street Address |
75 FRANCIS ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-6110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980370 | Michael W Groff | Specialist | 75 Francis St, Neurosurgery, Boston, MA 02115-6110 | 2005-05-27 |
| 1841891405 | Judith Jordan Lauerman | Registered Nurse | 75 Francis St, Boston, MA 02115-6106 | 2020-11-02 |
| 1215535158 | Katherine Elizabeth Dubois | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2020-10-13 |
| 1720695935 | Kelly Casey | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2020-09-30 |
| 1104433556 | Laura Anne Murphy | Nuclear Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-09-29 |
| 1801402300 | Xiao Ou He | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-09-20 |
| 1811503469 | Kelsey Killeen | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2020-09-18 |
| 1346855384 | Kendall Lenore Mehinagic | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2020-09-15 |
| 1689289027 | Rania El Fekih | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-09-12 |
| 1881206340 | Jean-francois Toupin | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1407261605 | Lee Sullivan | Psychiatry & Neurology | 15 Parkman St # 720, Boston, MA 02114 | 2014-06-25 |
| 1093135048 | Pria Anand | Psychiatry & Neurology | 55 Fruit St Ste 835, Boston, MA 02114-2696 | 2014-04-17 |
| 1770925976 | Ammar Kheder | Psychiatry & Neurology | 55 Fruit Street, Epilepsy Service, Wang Acc 7, Massachusetts General Hospital, Boston, MA 02114 | 2013-07-29 |
| 1225477953 | Christopher T Doughty | Psychiatry & Neurology | 60 Fenwood Rd Dept Of, Boston, MA 02115 | 2013-06-16 |
| 1669815486 | Paloma Gonzalez Perez | Psychiatry & Neurology | 165 Cambridge St Fl 8, Boston, MA 02114-2747 | 2013-04-10 |
| 1417235557 | Reza Seyedsadjadi | Psychiatry & Neurology | 165 Cambridge St Ste 820, Boston, MA 02114 | 2011-07-22 |
| 1912216938 | Haythum Osama Tayeb | Psychiatry & Neurology | 55 Fruit Street (mailcode Wacc 8-835), Mass. General Hospital Dept. Neurology, Boston, MA 02114 | 2010-09-26 |
| 1508093675 | Sana Syed | Psychiatry & Neurology | 725 Shapiro, 716, Boston, MA 02118-2307 | 2009-06-16 |
| Find all providers in BOSTON | ||||
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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.