Active NPI
Brian David Kossak, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 8711
- Practice address
- 87 McGregor St
Dartmouth Hitchcock - Child Neurology
Manchester, NH 03102-3765 - Phone
- (603) 695-2500
- Fax
- (603) 695-2960
- NPI assigned
- Jun 26, 2006
- Last updated
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 8711 | NH | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 8711 | NH | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 213688 | MA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 8711 | NH | Primary |
Addresses
Primary practice location
87 McGregor St
Dartmouth Hitchcock - Child Neurology
Manchester, NH 03102-3765
Mailing address
87 McGregor St
Dartmouth Hitchcock - Child Neurology
Manchester, NH 03102-3765
Phone (603) 695-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600
280 Main St
Nashua, NH 03060-2919
Phone (603) 577-2062
29 Northwest Blvd
Nashua, NH 03063-4068
Phone (603) 402-2070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213688 | MA | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 8711 | NH | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Medical Partners Inc | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Foundation Medical Partners Inc. | Current | Accepting new patients |
Locations
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
87 McGregor St
Manchester, NH 03102
Phone (603) 629-1828
10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600
22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147
280 Main St
Ste 441
Nashua, NH 03060
Phone (603) 577-3061
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Nashua, NH
- NPI 1033162037
-
- Family Medicine Physician
- Manchester, NH
- NPI 1386697803
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Durable Medical Equipment & Medical Supplies
- Amherst, NH
- NPI 1679921472
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1245447994
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1164459368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 MCGREGOR ST",
"address_2": "DARTMOUTH HITCHCOCK - CHILD NEUROLOGY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023765",
"telephone_number": "603-695-2500",
"fax_number": "603-695-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 MCGREGOR ST",
"address_2": "DARTMOUTH HITCHCOCK - CHILD NEUROLOGY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023765",
"telephone_number": "603-695-2500",
"fax_number": "603-695-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSSAK",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "NH",
"license": "8711",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NH",
"license": "8711",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MA",
"license": "213688",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NH",
"license": "8711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.