NPIMap

Individual provider Active NPI

Brian T Kroener, MD, MPH

  • Family Medicine Physician
  • North Quincy, MA
National Provider Identifier
1205220126
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
281070 Issued in MA
Practice address
Manet Community Health Center
110 West Squantum Street
North Quincy, MA 02171-2122
Phone
(617) 376-3000
NPI assigned
Mar 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 281070 MA Primary

Addresses

Primary practice location

Manet Community Health Center
110 West Squantum Street
North Quincy, MA 02171-2122

Mailing address

801 Albany St FL Ground
Boston, MA 02119

Other practice location 1

1 Dowling Medical Center Place
Dowling 5
Boston, MA 02119-2908
Phone (617) 414-4465

Other identifiers 1

IdentifierTypeStateIssuer
110156326AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191030002935 MA Practitioner - Family Practice 0840503850 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manet Community Health Center, Inc. 52 clinicians
Boston Medical Center Corporation 19 clinicians

Practice addresses (Care Compare)

110 W Squantum St
Quincy, MA 02171-2122
Phone (617) 376-3000

1193 Sea St
Quincy, MA 02169-3544
Phone (617) 471-8683

180 George Washington Blvd
Hull, MA 02045-3069
Phone (781) 925-4550

4199 Washington St
Roslindale, MA 02131-1733
Phone (617) 323-4440

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation CurrentSince Sep 1, 2022 Accepting new patients
Boston University Family Medicine, Inc. Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Dec 25, 2019 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Dec 25, 2019 Accepting new patients
Manet Community Health Center, Inc. Past Accepting new patients

Locations

8 N Main St
Attleboro, MA 02703
Phone (508) 205-4600

720 Harrison Ave
Ste 1105
Boston, MA 02118
Phone (617) 414-2000

180 George Washington Blvd
Hull, MA 02045
Phone (781) 925-4550

1193 Sea St
Quincy, MA 02169
Phone (617) 471-8683

110 W Squantum St
Quincy, MA 02171
Phone (617) 376-3000

9 Bicknell St
Quincy, MA 02169
Phone (617) 376-3000

4199 Washington St
Roslindale, MA 02131
Phone (617) 323-4440

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brian.kroener.1@4368.direct.athenahealth.com
  • Direct secure messaging: bkroener119833@direct.bmc.masshiway.net

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 10

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1205220126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ALBANY ST FL GROUND",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANET COMMUNITY HEALTH CENTER",
            "address_2": "110 WEST SQUANTUM STREET",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Dowling Medical Center Place",
            "address_2": "Dowling 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021192908",
            "country_code": "US",
            "telephone_number": "617-414-4465",
            "fax_number": "617-414-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROENER",
        "first_name": "BRIAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "281070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110156326A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Quincy, MA

Sources for this page

Verify at the official NPI Registry.