Active NPI
Brian A. Kenny, M.D.
- Internal Medicine Physician
- Raynham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 82051
- Practice address
- 546 South St E
Raynham, MA 02767-1079 - Phone
- (508) 821-5700
- Fax
- (617) 479-0857
- NPI assigned
- Oct 19, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 82051 | MA | Primary |
Addresses
Primary practice location
546 South St E
Raynham, MA 02767-1079
Mailing address
PO Box 2153 Dept 40338
Birmingham, AL 35287-9386
Phone (423) 310-1642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3147711 | Medicaid | MA |
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 |
|---|---|---|---|
| Physician Onsite, Inc | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Raynham Medical Investors LLC | Past | Accepting new patients | |
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Nova Psychiatric Services, PC | Past | Accepting new patients | |
| Medical Care of Boston Management Corporation | Internal Medicine | Past | Accepting new patients |
| Community Physicians Associates, Inc. | Past | Accepting new patients | |
| Carney Medical Group | Past | Accepting new patients | |
| Community Physicians Associates, Inc. | Internal Medicine | Past | Accepting new patients |
| Southeast Anesthesia Assoc | Past | Accepting new patients | |
| Boston Medical Group, PC | Past | Accepting new patients |
Locations
969 Park St
Attleboro, MA 02703
Phone (508) 222-4182
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
2110 Dorchester Ave
Ste 310
Dorchestr Ctr, MA 02124
Phone (617) 296-0720
2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222
2100 Dorchester Ave
Fl 7
Dorchestr Ctr, MA 02124
Phone (617) 296-4012
1261 Furnace Brook Pkwy
Ste 22
Quincy, MA 02169
Phone (617) 302-2481
700 Congress St
Ste 301D
Quincy, MA 02169
Phone (617) 786-8700
546 South St E
Raynham, MA 02767
Phone (508) 821-5700
Organizations & group practices 12
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.
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Geriatric Medicine (Internal Medicine) Physician
- Cleveland, TN
- NPI 1174897888
-
- Pulmonary Disease Physician
- Dorchester Center, MA
- NPI 1538101191
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Specialist
- Brighton, MA
- NPI 1326142704
-
- Orthopaedic Surgery Physician
- Milton, MA
- NPI 1477832780
-
- Family Medicine Physician
- Milton, MA
- NPI 1538154869
Internal Medicine
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- Community/Behavioral Health Agency
- Quincy, MA
- NPI 1881782522
-
- Skilled Nursing Facility
- Raynham, MA
- NPI 1134189673
-
- Anesthesiology Physician
- Dorchester Center, MA
- NPI 1891780078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1023007358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153 DEPT 40338",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352879386",
"telephone_number": "423-310-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 SOUTH ST E",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027671079",
"telephone_number": "508-821-5700",
"fax_number": "617-479-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "BRIAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "82051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3147711",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raynham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.