Organization Active NPI

Brooke R Seckel MD LLC

  • Plastic Surgery Physician
  • Concord, MA
National Provider Identifier
1124291141
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
34084 Issued in MA
Legal business name
BROOKE R SECKEL MD LLC
Practice address
131 Ornac
Suite 700 John Cuming Building
Concord, MA 01742-4181
Phone
(978) 369-4499
Fax
(866) 743-7213
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Brooke R Seckel, M.D.
Title
Predisent
Phone
(978) 369-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 34084 MA Primary

Addresses

Primary practice location

131 Ornac
Suite 700 John Cuming Building
Concord, MA 01742-4181

Mailing address

1 Edward St
Canton, MA 02021-2303
Phone (781) 828-3533

National Provider Directory

National Provider Directory
Tax ID family
Brooke R Seckel MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1124291141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDWARD ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212303",
            "telephone_number": "781-828-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ORNAC",
            "address_2": "SUITE 700 JOHN CUMING BUILDING",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-369-4499",
            "fax_number": "866-743-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE R SECKEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SECKEL",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PREDISENT",
        "authorized_official_telephone_number": "978-369-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "34084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.