Jennifer A Bram, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

235447 Issued in MA

Practice address

321 Fortune Boulevard
Suite 108
Milford, MA 01757

Phone

(508) 478-5996

Fax

(508) 634-7857

NPI assigned

Jan 2, 2007

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Austin Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jbram22264@umassmemorial.direct-ci.com
• Direct secure messaging: jbram33404@direct.chppoc.masshiway.net

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1053478016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BOULEVARD",
            "address_2": "SUITE 108",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "508-478-5996",
            "fax_number": "508-634-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BOULEVARD",
            "address_2": "SUITE 108",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "508-478-5996",
            "fax_number": "508-634-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAM",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "235447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110079833A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbram22264@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "336 Thompson Rd Ste 3",
            "address_2": "Department of Pediatrics",
            "city": "Webster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015701586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "336 Thompson Rd Ste 3",
            "address_2": "Department of Pediatrics",
            "city": "Webster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015701586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "AUSTIN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pediatrics Physician in Milford, MA
• Providers in Milford, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.