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MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC. NPI 1174545875


NPI Information

NPI: 1174545875
Provider Name: MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 22D0946134

Address:
80 BEHARRELL ST
CONCORD, MA
ZIP 01742
Phone: (781) 259-9292
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MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC. is an internal medicine in Concord, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC. NPI is 1174545875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

80 BEHARRELL ST
CONCORD, MA
ZIP 01742-739
Phone: (781) 259-9292
Fax: (781) 259-0747

The provider's authorized official is David Connolly .
The authorized official title is Cfo, Svp Of Admin & Treasurer and has the following contact phone number (857) 282-2028.

The CLIA number assigned to this NPI record is 22D0946134 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 7/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0000XInternal MedicineAdolescent Medicine59966MASSACHUSETTSNo
2207RC0000XInternal MedicineCardiovascular Disease24941MASSACHUSETTSNo
3207RP1001XInternal MedicinePulmonary Disease43554MASSACHUSETTSNo
4207RR0500XInternal MedicineRheumatology75595MASSACHUSETTSNo
5207R00000XInternal Medicine59897MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19777563MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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