Active NPI
Laurence H Brinckerhoff, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 223013
- Practice address
- 830 Harrison Ave FL 3
Moakley BLDG.
Boston, MA 02118 - Phone
- (617) 638-5600
- Fax
- (617) 638-7228
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 223013 | MA | Primary |
Addresses
Primary practice location
830 Harrison Ave FL 3
Moakley BLDG.
Boston, MA 02118
Mailing address
960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690
Other practice location 1
732 Harrison Ave., 3rd Floor West
Preston Bldg.
Boston, MA 02118-2309
Phone (617) 388-4886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110039565A | Medicaid | MA | |
| 3111080 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University General Surgical Associates, Inc.-QMC | Current | Accepting new patients | |
| Pratt Surgical Associates Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Boston University General Surgical Associates, Inc. | Current | Accepting new patients | |
| LGH Professional Services LLC | Past | Accepting new patients | |
| Boston Medical Center Corporation | Past | Accepting new patients |
Locations
732 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 638-5350
800 Washington St
#7105
Boston, MA 02111
Phone (617) 636-2395
732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
960 Massachusetts Ave
Ste 2
Boston, MA 02118
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
750 Washington St
#276
Boston, MA 02111
Phone (617) 636-5025
720 Harrison Ave
Ste 700
Boston, MA 02118
Phone (617) 638-8488
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
41 Montvale Ave
Stoneham, MA 02180
Phone (781) 224-5806
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Boston, MA
- NPI 1104865567
-
- Surgery Physician
- Boston, MA
- NPI 1912944182
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Podiatrist
- Quincy, MA
- NPI 1396041356
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1013943679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVENUE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 HARRISON AVE FL 3",
"address_2": "MOAKLEY BLDG.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-5600",
"fax_number": "617-638-7228"
}
],
"practiceLocations": [
{
"address_1": "732 Harrison Ave., 3rd Floor West",
"address_2": "Preston Bldg.",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182309",
"country_code": "US",
"telephone_number": "617-388-4886",
"fax_number": "617-638-8469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINCKERHOFF",
"first_name": "LAURENCE",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MA",
"license": "223013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110039565A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3111080",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.