Individual provider Active NPI

Brian Kennedy Marks, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Bedford, NH
National Provider Identifier
1205020385
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
16121 Issued in NH
Practice address
5 Washington PL
Bedford, NH 03110-6736
Phone
(603) 695-2500
NPI assigned
Aug 30, 2007
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 097009 OH
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 16121 NH Primary

Addresses

Primary practice location

5 Washington PL
Bedford, NH 03110-6736

Mailing address

5 Washington PL
Bedford, NH 03110-6736
Phone (603) 695-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130917000512 NH Practitioner - UrologyPractitioner - Other (Physician) 1052587375 Reassigns benefits to 3 organizations
I20231222001252 VT Practitioner - Urology 1052587375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians
Springfield Hospital Inc.Group PAC ID 6507760337, 63 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 669-5300

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 663-5310

25 Ridgewood Rd
Springfield, VT 05156-3050
Phone (802) 885-2151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
097009OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Springfield Hospital CurrentSince Nov 5, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 28, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 28, 2022 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Springfield Hospital .Inc CurrentSince Nov 5, 2023 Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

246 Pleasant St
Ste 210
Concord, NH 03301
Phone (603) 224-5200

246 Pleasant St
Ste G2
Concord, NH 03301
Phone (603) 224-3388

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

250 Pleasant St
Fl 6
Concord, NH 03301
Phone (603) 224-8593

580 Court St
Keene, NH 03431
Phone (603) 354-5454

590 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • Direct secure messaging: bmarks482044@direct.dartmouth-hitchcock.org

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.

Hospital & facility affiliations 7

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1205020385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106736",
            "telephone_number": "603-695-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106736",
            "telephone_number": "603-695-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "BRIAN",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "097009",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NH",
            "license": "16121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.