Individual provider Active NPI

Amy Bray Akland, PA-C

  • Medical Physician Assistant
  • Brookline, MA
National Provider Identifier
1093915795
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
AP2334 Issued in MA
Practice address
1101 Beacon St
Suite 1E
Brookline, MA 02446-5587
Phone
(617) 731-2390
Fax
(617) 731-1283
NPI assigned
Jul 20, 2007
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X AP2334 MA Primary

Addresses

Primary practice location

1101 Beacon St
Suite 1E
Brookline, MA 02446-5587

Mailing address

955 Main St G6
Winchester, MA 01890-1992
Phone (781) 729-4878

Other names 1

  • Ms. Amy Virginia Bray Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000362 MA Practitioner - Physician Assistant 1658463799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J Obrien Jr MD and Assoc PCGroup PAC ID 1557250586, 19 clinicians

Practice addresses (Care Compare)

833 Main St
Melrose, MA 02176-2715
Phone (781) 729-4878

955 Main St
Suite G 6
Winchester, MA 01890-1961

955 Main St
Suite G6
Winchester, MA 01890-1992
Phone (781) 729-4878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP2334MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Rockoff, M.D, LLC PastSince Jun 11, 2008 Accepting new patients
Integrated Dermatology of Brookline, LLC PastSince May 1, 2019 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, 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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1093915795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST G6",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901992",
            "telephone_number": "781-729-4878",
            "fax_number": "781-729-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST",
            "address_2": "SUITE 1E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "617-731-2390",
            "fax_number": "617-731-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKLAND",
        "first_name": "AMY",
        "middle_name": "BRAY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "AP2334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BRAY",
            "middle_name": "VIRGINIA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.