Individual provider Active NPI

Robert Harris Brown, MD

  • Dermatology Physician
  • Brighton, MA
National Provider Identifier
1104995133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
59575 Issued in MA
Practice address
280 Washington St
Suite 212
Brighton, MA 02135-3511
Phone
(617) 783-7100
Fax
(617) 783-7104
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 59575 MA Primary

Addresses

Primary practice location

280 Washington St
Suite 212
Brighton, MA 02135-3511

Mailing address

30 Newbury Park
Needham, MA 02492-4218
Phone (781) 444-9352

Other identifiers 1

IdentifierTypeStateIssuer
3044459MedicaidMA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017001100 MA Practitioner - Dermatology 4385685833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Watertown Dermatology Assoc. PCGroup PAC ID 7517908064, 4 clinicians

Practice addresses (Care Compare)

280 Washington St
Suite 212
Brighton, MA 02135-3511
Phone (617) 783-7100

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions633
Removal or shaving of skin growth19
Skin biopsy154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59575MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Amster Derm Dermatology CurrentSince Oct 22, 2025 Accepting new patients
Newton Watertown Dermatology Assoc. PC Dermatology CurrentSince Mar 27, 1997 Accepting new patients

Locations

280 Washington St
Ste 212
Brighton, MA 02135
Phone (617) 762-7100

800 Falmouth Rd
Ste 101B
Mashpee, MA 02649
Phone (612) 783-7100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104995133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEWBURY PARK",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024924218",
            "telephone_number": "781-444-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WASHINGTON ST",
            "address_2": "SUITE 212",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353511",
            "telephone_number": "617-783-7100",
            "fax_number": "617-783-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "HARRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "59575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044459",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.