NPIMap

Individual provider Active NPI

Scott M. Graham, DO

  • Family Medicine Physician
  • Brewster, MA
National Provider Identifier
1154431609
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
216184 Issued in MA
Practice address
20 Granite State CT
Brewster, MA 02631-2127
Phone
(508) 255-7200
Fax
(508) 247-9801
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 216184 MA Primary

Addresses

Primary practice location

20 Granite State CT
Brewster, MA 02631-2127

Mailing address

20 Granite State CT
Brewster, MA 02631-2127
Phone (508) 255-7200

Other identifiers 4

IdentifierTypeStateIssuer
2005450MedicaidMA
463859OtherMATUFTS HEALTH PLAN
714460OtherMAHARVARD PILGRIM HEALTH
J25929OtherMABC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000334 MA Practitioner - Family Practice 2567535263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brewster Medical Associates, PCGroup PAC ID 4688616733, 2 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

20 Granite State CT
Brewster, MA 02631-2127
Phone (508) 255-7200

860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Bayada Home Health Care , Inc Home health agency, Hyannis, MA, CCN 227466
  • Bayada Home Health Care Inc Home health agency, Plymouth, MA, CCN 227537
  • Visiting Nurse Association of Cape Cod Hospice Hospice, Hyannis, MA, CCN 221554
  • Broad Reach Hospice Hospice, Chatham, MA, CCN 221559
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032
  • Regalcare at Harwich Nursing home, Harwich, MA, CCN 225525
  • Liberty Commons Nursing home, North Chatham, MA, CCN 225330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brewster Medical Associates, PC Family Medicine CurrentSince May 23, 2008 Accepting new patients
Regal Care at Harwich LLC Past Accepting new patients

Locations

20 Granite State Ct
Brewster, MA 02631
Phone (508) 255-7200

Interoperability endpoints

  • Direct secure messaging: scottgraham@bmapc.allscriptsdirect.net

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1154431609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRANITE STATE CT",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312127",
            "telephone_number": "508-255-7200",
            "fax_number": "508-247-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GRANITE STATE CT",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312127",
            "telephone_number": "508-255-7200",
            "fax_number": "508-247-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SCOTT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "216184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005450",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "463859",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "714460",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "J25929",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

Verify at the official NPI Registry.