Active NPI
Brenda M Varriano, MD, MSC
- Student in an Organized Health Care Education/Training Program
- Boston, MA
National Provider Identifier
1053085571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 3014279
- Practice address
- 55 Fruit St
Boston, MA 02114-2696 - Phone
- (781) 485-6000
- NPI assigned
- Aug 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 3014279 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
55 Fruit St
Boston, MA 02114-2696
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://partnershealthcare.okta.com/login/login.htm?fromURI=%2Fapp%2Fpartnershealthcare_ppd_1%2FexkkrenvwTnjFkigj296%2Fsso%2Fsaml%3FSAMLRequest%3DfJJRb4IwFIX%252FCum7UJEhNmLiZsxMXGaU7WEvpsIVKtB2vcX584foEpdsPjb39Hy953SMvK40mza2kGv4bACtc6oriawbxKQxkimOApnkNSCzKdtMX5bMdynTRlmVqoo4U0QwVij5pCQ2NZgNmKNI4W29jElhrUbmeVpnrubGSjDoKpN7aS68M4a3dOLMWraQ%252FOxyc%252BeqL4BXtki5AVeVlrupqj2u9R%252FzbYvZ9j04laUBefxK5GFeivzgj0IPUXVA4syVSaHbOiZ7XiEQZzGLyTaC0X7nB%252FDAKeX7IQ2jbJfxcEiDkA6iMGhliA0sJFoubUx86g96NOrRIOmHLPCZH3wQZ3UN5lHITMj8foq7iwjZc5KseqvXTUKc93alLodWQCbj85tZBzY37dy35T%252BVkMl%252FBYy7MK7Gk8vp91%252BYfA8A%26RelayState%3DY3R4PXRzNFNzeWZRaDZaemQ2WGxYR2xkT0pXbHFxMVJ2c3BNYXFYNUEzbW5OLTZBMU9RS21ubzFjWDZmWi1HV28takJOTG5EY2p1WEl3UkNDWUpNYnMtemxxbjJza0NJczk3OG1TUm9vRzhNNmRKUXJyYkNMazRLeExTU1hjazFLbjJ1ODktdDhpRXpDNEJSRFVYc0J1MDFiNFhVS1NaSnlhUGxmdFg3OGtjVl9zT1BLTDhaa0dUbWJYLUhoQmFwcFlybGtmNHFKS2Y3AGh0dHBzOi8vcHBkLnBhcnRuZXJzLm9yZy8%253D |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230714000308 | MA | Order and Referring Only - Internal Medicine | 2163882770 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1053085571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "781-485-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARRIANO",
"first_name": "BRENDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD, MSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-07",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "3014279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://partnershealthcare.okta.com/login/login.htm?fromURI=%2Fapp%2Fpartnershealthcare_ppd_1%2FexkkrenvwTnjFkigj296%2Fsso%2Fsaml%3FSAMLRequest%3DfJJRb4IwFIX%252FCum7UJEhNmLiZsxMXGaU7WEvpsIVKtB2vcX584foEpdsPjb39Hy953SMvK40mza2kGv4bACtc6oriawbxKQxkimOApnkNSCzKdtMX5bMdynTRlmVqoo4U0QwVij5pCQ2NZgNmKNI4W29jElhrUbmeVpnrubGSjDoKpN7aS68M4a3dOLMWraQ%252FOxyc%252BeqL4BXtki5AVeVlrupqj2u9R%252FzbYvZ9j04laUBefxK5GFeivzgj0IPUXVA4syVSaHbOiZ7XiEQZzGLyTaC0X7nB%252FDAKeX7IQ2jbJfxcEiDkA6iMGhliA0sJFoubUx86g96NOrRIOmHLPCZH3wQZ3UN5lHITMj8foq7iwjZc5KseqvXTUKc93alLodWQCbj85tZBzY37dy35T%252BVkMl%252FBYy7MK7Gk8vp91%252BYfA8A%26RelayState%3DY3R4PXRzNFNzeWZRaDZaemQ2WGxYR2xkT0pXbHFxMVJ2c3BNYXFYNUEzbW5OLTZBMU9RS21ubzFjWDZmWi1HV28takJOTG5EY2p1WEl3UkNDWUpNYnMtemxxbjJza0NJczk3OG1TUm9vRzhNNmRKUXJyYkNMazRLeExTU1hjazFLbjJ1ODktdDhpRXpDNEJSRFVYc0J1MDFiNFhVS1NaSnlhUGxmdFg3OGtjVl9zT1BLTDhaa0dUbWJYLUhoQmFwcFlybGtmNHFKS2Y3AGh0dHBzOi8vcHBkLnBhcnRuZXJzLm9yZy8%253D",
"affiliation": "N",
"address_1": "55 Fruit St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021142696",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 4, 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.