Individual provider Active NPI

Brian Everett Murphy, DMD

  • General Practice Dentistry
  • Andover, MA
National Provider Identifier
1083646319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18322 Issued in MA
Practice address
2 Elm SQ
Ste 202
Andover, MA 01810-3668
Phone
(978) 475-4772
Fax
(978) 475-0597
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18322 MA Primary

Addresses

Primary practice location

2 Elm SQ
Ste 202
Andover, MA 01810-3668

Mailing address

2 Elm SQ
Ste 202
Andover, MA 01810-3668
Phone (978) 475-4772

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729000705 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496971400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18322MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Browell and Murphy Past Accepting new patients
Andover Dental Group, LLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083646319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELM SQ",
            "address_2": "STE 202",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103668",
            "telephone_number": "978-475-4772",
            "fax_number": "978-475-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELM SQ",
            "address_2": "STE 202",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103668",
            "telephone_number": "978-475-4772",
            "fax_number": "978-475-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "BRIAN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.