NPIMap

Organization Active NPI

Brigham & Womens Physicians Organization Inc

  • Durable Medical Equipment & Medical Supplies
  • Foxborough, MA
National Provider Identifier
1205425865
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRIGHAM & WOMENS PHYSICIANS ORGANIZATION INC
Practice address
20 Patriot PL
Foxborough, MA 02035-1375
Phone
(866) 378-9164
NPI assigned
Jan 18, 2021
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Joanna Hazell
Title
Director
Phone
(781) 254-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

20 Patriot PL
Foxborough, MA 02035-1375

Mailing address

PO Box 414205
Boston, MA 02241-4205
Phone (617) 732-9900

Other identifiers 1

IdentifierTypeStateIssuer
110066980YMedicaidMA

Other names 1

  • BWPO Orthopedics at Foxboro Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220203000606 MA DME Supplier - Physician - General Practice 3870405988 Practice locations: Foxborough, MA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Brigham Womens Physi12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1205425865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414205",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414205",
            "telephone_number": "617-732-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PATRIOT PL",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020351375",
            "telephone_number": "866-378-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM & WOMENS PHYSICIANS ORGANIZATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "HAZELL",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-254-4865"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110066980Y",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BWPO Orthopedics at Foxboro",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BWPO Orthopedics at Foxboro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Foxborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.