Active NPI
Benjamin Levine Ebert, MD
- Hematology (Internal Medicine) Physician
- Boston, MA
National Provider Identifier
1104933605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 220997
- Practice address
- 75 Francis St
Brigham and Women's Hospital Hematology Division
Boston, MA 02115 - Phone
- (617) 732-5190
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 220997 | MA | Primary |
Addresses
Primary practice location
75 Francis St
Brigham and Women's Hospital Hematology Division
Boston, MA 02115
Mailing address
75 Francis St
Brigham and Women's Hospital Hematology Division
Boston, MA 02115
Phone (617) 732-5190
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220997 | MA | MD | Hematology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104933605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "BRIGHAM AND WOMEN'S HOSPITAL HEMATOLOGY DIVISION",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "BRIGHAM AND WOMEN'S HOSPITAL HEMATOLOGY DIVISION",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERT",
"first_name": "BENJAMIN",
"middle_name": "LEVINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MA",
"license": "220997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, 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.