Active NPI
Bryn C Walsh, LIC. AC.
- Acupuncturist
- Acton, MA
National Provider Identifier
1104963487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 203407
- Practice address
- 481 Great Rd
Suite #6
Acton, MA 01720-4157 - Phone
- (978) 266-9889
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 203407 | MA | Primary |
Addresses
Primary practice location
481 Great Rd
Suite #6
Acton, MA 01720-4157
Mailing address
55 Wells Road
Lincoln, MA 01720
AE
Phone (978) 266-9889
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203407 | MA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104963487",
"addresses": [
{
"country_code": "AE",
"country_name": "United Arab Emirates",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "55 WELLS ROAD",
"city": "LINCOLN",
"state": "MA",
"postal_code": "01720",
"telephone_number": "978-266-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 GREAT RD",
"address_2": "SUITE #6",
"city": "ACTON",
"state": "MA",
"postal_code": "017204157",
"telephone_number": "978-266-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "BRYN",
"middle_name": "C",
"credential": "LIC. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "203407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acton, 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.