BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC NPI 1578549507

NPI Information

NPI: 1578549507
Provider Name: BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC

Doing Business As: DBA DEPT OF FAULKNER RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1153 CENTRE ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 983-7272
Get Directions

BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC is a diagnostic radiology radiology in Jamaica Plain, MA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC NPI is 1578549507. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Dept Of Faulkner Radiology.

The provider's business location address is:

1153 CENTRE ST
JAMAICA PLAIN, MA
ZIP 02130-446
Phone: (617) 983-7272

The provider's authorized official is William C Johnston .
The authorized official title is Coo and has the following contact phone number (617) 582-1200.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 4/11/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology		MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M21203	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	9725580	MEDICAID	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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