Individual provider Active NPI

Brian Frank Hinnebusch, M.D.

  • Surgery Physician
  • Norwood, MA
National Provider Identifier
1164467247
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
208608 Issued in MA
Practice address
128 Carnegie Row
Ste 208
Norwood, MA 02062-5010
Phone
(781) 551-5848
Fax
(781) 352-4373
NPI assigned
Jun 20, 2006
Last updated
Oct 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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 208608 MA Primary
Colon & Rectal Surgery Physician 208C00000X 208608 MA

Addresses

Primary practice location

128 Carnegie Row
Ste 208
Norwood, MA 02062-5010

Mailing address

35 United Dr
Ste 102
West Bridgewater, MA 02379-1027
Phone (781) 551-5848

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
I20061204000303 MA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 0547265514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Health Partners LLCGroup PAC ID 2264842087, 8 clinicians

Practice addresses (Care Compare)

67 Millbrook St
Suite 406a
Worcester, MA 01606-2845
Phone (413) 512-1529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208608MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Integral Health Partners LLC CurrentSince Jan 1, 2026 Accepting new patients
ENT Norwood LLC PastSince Nov 27, 2018 Accepting new patients
Timothy M Anderson MD PC Past Accepting new patients
Highland Surgical Associates LLC Surgery Past Accepting new patients
ENT Specialists, Inc PastSince Jun 18, 1997 Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

67 Millbrook St
Ste 406A
Worcester, MA 01606
Phone (508) 283-4513

67 Millbrook St
Ste 406B
Worcester, MA 01606
Phone (413) 512-1529

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFADAA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1164467247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR",
            "address_2": "STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "781-551-5848",
            "fax_number": "781-255-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CARNEGIE ROW",
            "address_2": "STE 208",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625010",
            "telephone_number": "781-551-5848",
            "fax_number": "781-352-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINNEBUSCH",
        "first_name": "BRIAN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "208608",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MA",
            "license": "208608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.