NPIMap

Individual provider Active NPI

Jiri Brabec, MD

  • Neurology Physician
  • Lawrence, MA
National Provider Identifier
1093944332
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
274403 Issued in MA
Practice address
354 Merrimack St
Lawrence, MA 01843-1754
Phone
(978) 687-2321
Fax
(978) 722-7287
NPI assigned
Jul 8, 2009
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 274403 MA Primary

Addresses

Primary practice location

354 Merrimack St
Lawrence, MA 01843-1754

Mailing address

354 Merrimack St Ste 1
Lawrence, MA 01843-1755
Phone (978) 687-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180801000908 MA Practitioner - Neurology 1153564299 Reassigns benefits to 3 organizations
I20240313000090 NH Practitioner - Neurology 1153564299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians

Practice addresses (Care Compare)

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

7 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 777-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians LLC CurrentSince Feb 26, 2024 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Sep 1, 2020 Accepting new patients
Core Physicians, LLC CurrentSince Feb 26, 2024 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Heywood Medical Group Inc. Neurology CurrentSince Sep 1, 2020 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Unit 4
Exeter, NH 03833

7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000

7 Alumni Dr
Fl 2
Exeter, NH 03833

7 Holland Way
#1
Exeter, NH 03833

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jbrabec579558@direct.bilh.masshiway.net
  • Direct secure messaging: jiri.brabec.1@192.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1093944332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 1",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431755",
            "telephone_number": "978-687-2321",
            "fax_number": "978-722-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "978-687-2321",
            "fax_number": "978-722-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABEC",
        "first_name": "JIRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "274403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.