NPIMap

Organization Active NPI

Bramblebush Pediatrics LLP

  • Pediatrics Physician
  • Falmouth, MA
National Provider Identifier
1033179239
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BRAMBLEBUSH PEDIATRICS LLP
Practice address
15 Bramblebush Park
Falmouth, MA 02540-2325
Phone
(508) 548-6969
Fax
(508) 540-2793
NPI assigned
Mar 23, 2006
Last updated
Aug 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Giannina Tierney, M.D.NPI 1457311169
Title
Managing Partner
Phone
(508) 548-6969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

15 Bramblebush Park
Falmouth, MA 02540-2325

Mailing address

15 Bramblebush Park
Falmouth, MA 02540-2325
Phone (508) 548-6969

Other identifiers 2

IdentifierTypeStateIssuer
M15804OtherMABLUE SHIELD
9777369MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Bramblebush Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 548-6969

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1033179239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRAMBLEBUSH PARK",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-548-6969",
            "fax_number": "508-540-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRAMBLEBUSH PARK",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-548-6969",
            "fax_number": "508-540-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAMBLEBUSH PEDIATRICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "GIANNINA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "508-548-6969",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M15804",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9777369",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.