Individual provider Active NPI

Brien Patrick Daly, MD

  • Obstetrics & Gynecology Physician
  • Weston, MA
National Provider Identifier
1174519599
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
74793 Issued in MA
Practice address
134 South St
2ND Floor
Weston, MA 02493
Phone
(781) 893-2224
Fax
(781) 891-1041
NPI assigned
Sep 21, 2005
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 74793 MA Primary

Addresses

Primary practice location

134 South St
2ND Floor
Weston, MA 02493

Mailing address

330 Mount Auburn St # 2
Cambridge, MA 02138-5597
Phone (617) 499-5054

Other practice location 1

480 Pleasant St Ste A200
Watertown, MA 02472-2462
Phone (617) 356-8282

Other identifiers 1

IdentifierTypeStateIssuer
3130151MedicaidMA

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
I20050428000687 MA Practitioner - Obstetrics/Gynecology 9133168180 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Mount Auburn Professional Services Inc PastSince Sep 1, 2024 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

830 Oak St
Ste 223E
Brockton, MA 02301
Phone (508) 586-3683

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

21 Bristol Dr
Ste 203
South Easton, MA 02375
Phone (508) 565-3410

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

134 South Ave
Ste 2
Weston, MA 02493
Phone (617) 891-5607

Organizations & group practices 3

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1174519599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST # 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385597",
            "telephone_number": "617-499-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SOUTH ST",
            "address_2": "2ND FLOOR",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "02493",
            "telephone_number": "781-893-2224",
            "fax_number": "781-891-1041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Pleasant St Ste A200",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024722462",
            "country_code": "US",
            "telephone_number": "617-356-8282",
            "fax_number": "857-737-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "BRIEN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "74793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

Verify at the official NPI Registry.