Active NPI
David Branch Moody, MD
- Rheumatology Physician
- Boston, MA
National Provider Identifier
1043275613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 79861
- Practice address
- Arthiritis Center 75 Francis St
BWH Rheumatology Immunology and Allergy
Boston, MA 02115 - Phone
- (617) 732-5235
- NPI assigned
- Apr 18, 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 79861 | MA | Primary |
Addresses
Primary practice location
Arthiritis Center 75 Francis St
BWH Rheumatology Immunology and Allergy
Boston, MA 02115
Mailing address
111 Cypress St
Brigham and Womens Physicians Organization
Boston, MA 02445
Phone (857) 307-0896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79861 | MA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1043275613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"address_2": "BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION",
"city": "BOSTON",
"state": "MA",
"postal_code": "02445",
"telephone_number": "857-307-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ARTHIRITIS CENTER 75 FRANCIS ST",
"address_2": "BWH RHEUMATOLOGY IMMUNOLOGY AND ALLERGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "DAVID",
"middle_name": "BRANCH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MA",
"license": "79861",
"primary": true
}
],
"identifiers": [],
"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 Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.