Active NPI
Brian Anthony Hoell, NP
- Nurse Practitioner
- Waltham, MA
National Provider Identifier
1083649362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 173025
- Practice address
- 9 Hope Ave
Beth Israel Deaconess Cancer Care at Waltham
Waltham, MA 02453-2741 - Phone
- (617) 754-0515
- Fax
- (617) 754-0514
- NPI assigned
- Jul 12, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 173025 | MA | Primary |
Addresses
Primary practice location
9 Hope Ave
Beth Israel Deaconess Cancer Care at Waltham
Waltham, MA 02453-2741
Mailing address
333 Exchange St
Millis, MA 02054-1109
Phone (508) 376-5619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0384810 | Medicaid | MA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173025 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Rhode Island Medical Imaging Inc | Past | Accepting new patients | |
| Rhode Island Medical Imaging Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Boston, MA
- NPI 1982644555
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
-
- Diagnostic Radiology Physician
- Providence, RI
- NPI 1942376033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083649362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EXCHANGE ST",
"city": "MILLIS",
"state": "MA",
"postal_code": "020541109",
"telephone_number": "508-376-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HOPE AVE",
"address_2": "BETH ISRAEL DEACONESS CANCER CARE AT WALTHAM",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532741",
"telephone_number": "617-754-0515",
"fax_number": "617-754-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELL",
"first_name": "BRIAN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "173025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0384810",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.