Active NPI
Brenda A Cooney, PA-C
- Physician Assistant
- Boston, MA
National Provider Identifier
1215184080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1616
- Practice address
- 300 Longwood Ave
Children'S Hospital Boston Bader 273
Boston, MA 02115 - Phone
- (617) 355-7930
- NPI assigned
- Aug 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1616 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Children'S Hospital Boston Bader 273
Boston, MA 02115
Mailing address
300 Longwood Ave
Children'S Hospital Boston Bader 273
Boston, MA 02115
Phone (617) 355-7930
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- George Washington University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1616 | MA | MD | Chiropractor |
| 0081081 | NY | MD | Medical Laboratory Technician |
Interoperability endpoints
- bcooney27005@direct.bostonchildrens.org
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1215184080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDREN'S HOSPITAL BOSTON BADER 273",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-355-7930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDREN'S HOSPITAL BOSTON BADER 273",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-355-7930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONEY",
"first_name": "BRENDA",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.