Organization Active NPI

Judy Brasier DO, LLC

  • Medical Specialty Clinic/Center
  • Dedham, MA
National Provider Identifier
1073818092
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
226380 Issued in MA
Legal business name
JUDY BRASIER DO, LLC
Practice address
200 Providence Hwy
Suite 200
Dedham, MA 02026-1881
Phone
(781) 461-4543
Fax
(781) 326-2030
NPI assigned
Jan 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2011

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

Authorized official

Name
Dr. Judy L Brasier, D.O.
Title
President
Phone
(508) 579-3452

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 226380 MA
Medical Specialty Clinic/Center 261QM2500X 226380 MA Primary

Addresses

Primary practice location

200 Providence Hwy
Suite 200
Dedham, MA 02026-1881

Mailing address

4 Hilltop Dr
Millis, MA 02054-1761
Phone (508) 579-3452

National Provider Directory

National Provider Directory

Locations

200 Providence Hwy
Ste 200
Dedham, MA 02026
Phone (781) 461-4543

NPI Registry JSON

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

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295654400000",
    "number": "1073818092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HILLTOP DR",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541761",
            "telephone_number": "508-579-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE HWY",
            "address_2": "SUITE 200",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261881",
            "telephone_number": "781-461-4543",
            "fax_number": "781-326-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY BRASIER DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-01-22",
        "status": "A",
        "authorized_official_last_name": "BRASIER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-579-3452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MA",
            "license": "226380",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "226380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; 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.