Austin John O'Brien, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

76888 Issued in MA

Practice address

595 Pawtucket Blvd. 2ND FL
2ND Floor
Lowell, MA 01852

Phone

(978) 459-8447

Fax

(978) 459-6125

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1104808138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PAWTUCKET BLVD",
            "address_2": "2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542042",
            "telephone_number": "978-459-8447",
            "fax_number": "978-459-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PAWTUCKET BLVD. 2ND FL",
            "address_2": "2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01852",
            "telephone_number": "978-459-8447",
            "fax_number": "978-459-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "AUSTIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "76888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "J13899",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3116930",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Nuckols, OTR/L
• Gabriela Nunes
• Nurture to Bloom
• Hannah Joy Nutter
• Margaret Wanjiru Nyoro, N/A
• Emily Rebecca O'Brien, LICSW
• Kalyn Lee O'Brien
• Julie Rombaut O'Connor, M.D.
• Margaret Ellen O'Connor, LICSW
• Sharon Marie O'Donnell

• Family Medicine Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.