Individual provider Active NPI

Matthew W Brown, MD

  • Surgery Physician
  • Wakefield, MA
National Provider Identifier
1154436210
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
238213 Issued in MA
Practice address
888 Main St Ste 101
Wakefield, MA 01880-4080
Phone
(781) 620-4888
Fax
(781) 245-2602
NPI assigned
Aug 20, 2006
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2006-0202 NM
Surgery Physician 208600000X 238213 MA Primary

Addresses

Primary practice location

888 Main St Ste 101
Wakefield, MA 01880-4080

Mailing address

888 Main St Ste 101
Wakefield, MA 01880-4080
Phone (781) 620-4888

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
I20081031000167 MA Practitioner - General Surgery 4284634791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Human Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

888 Main St
Wakefield, MA 01880-4080
Phone (781) 620-4888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue117
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2006-0202NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc Surgery CurrentSince Jun 1, 2017 Accepting new patients
Melrosewakefield Healthcare, Inc. Past Accepting new patients

Locations

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

91 Montvale Ave
Ste 208
Stoneham, MA 02180
Phone (781) 279-1123

888 Main St
Ste 101
Wakefield, MA 01880
Phone (781) 620-4888

Interoperability endpoints

  • Direct secure messaging: mbrown23924@tuftsmedicine.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1154436210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 MAIN ST STE 101",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018804080",
            "telephone_number": "781-620-4888",
            "fax_number": "781-245-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 MAIN ST STE 101",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018804080",
            "telephone_number": "781-620-4888",
            "fax_number": "781-245-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2006-0202",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "238213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.