Individual provider Active NPI

Brian Phillips

  • Endocrinology, Diabetes & Metabolism Physician
  • Pittsfield, MA
National Provider Identifier
1083831374
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
234789 Issued in MA
Practice address
777 North St
Pittsfield, MA 01201-4147
Phone
(413) 496-6838
Fax
(413) 496-6839
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X LP00383 RI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 234789 MA Primary

Addresses

Primary practice location

777 North St
Pittsfield, MA 01201-4147

Mailing address

725 North St
Pittsfield, MA 01201-4109
Phone (413) 447-2752

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000417 MA Practitioner - EndocrinologyPractitioner - Internal Medicine 9032284583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians
Fairview HospitalGroup PAC ID 1254240773, 56 clinicians

Practice addresses (Care Compare)

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 395-7694

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2695

725 N Street Berkshire OB/GYN of
Mbu
Pittsfield, MA 01201-4109
Phone (413) 499-8570

777 N St
Suite 207
Pittsfield, MA 01201-4123
Phone (413) 499-8510

780 Main St
Great Barrington, MA 01230-2148
Phone (413) 528-8290

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

Hospital & facility affiliations

  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP00383RIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Sep 30, 2020 Accepting new patients
Fairview Hospital CurrentSince Sep 30, 2020 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Aug 4, 2008 Accepting new patients
Fairview Hospital CurrentSince Aug 4, 2008 Accepting new patients
Hillcrest Family Health Center Past Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

777 North St
Ste 201A
Pittsfield, MA 01201
Phone (413) 499-8551

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • Direct secure messaging: brianphillips@bfs.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1083831374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2752",
            "fax_number": "413-496-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014147",
            "telephone_number": "413-496-6838",
            "fax_number": "413-496-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "RI",
            "license": "LP00383",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "234789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.