NPIMap

Organization Active NPI

Barnett Medical Associates,PC

  • Internal Medicine Physician
  • Mattapan, MA
National Provider Identifier
1174559546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59479 Issued in MA
Legal business name
BARNETT MEDICAL ASSOCIATES,PC
Practice address
745 River St
Mattapan, MA 02126-1941
Phone
(617) 364-0222
Fax
(617) 364-3470
NPI assigned
Jun 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Reginald A Barnett, MDNPI 1649207051
Title
President
Phone
(617) 306-3677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 59479 MA Primary

Addresses

Primary practice location

745 River St
Mattapan, MA 02126-1941

Mailing address

745 River St
Mattapan, MA 02126-1941
Phone (617) 364-0222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174559546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021261941",
            "telephone_number": "617-364-0222",
            "fax_number": "617-364-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021261941",
            "telephone_number": "617-364-0222",
            "fax_number": "617-364-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNETT MEDICAL ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-306-3677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.