Active NPI
Angela G Fowler-Brown, M.D.
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1225130644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 226398
- Practice address
- Beth Israel Deaconess Medical Center
330 Brookline Avenue, Rose 115
Boston, MA 02215 - Phone
- (617) 667-9600
- NPI assigned
- Sep 5, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 226398 | MA | Primary |
Addresses
Primary practice location
Beth Israel Deaconess Medical Center
330 Brookline Avenue, Rose 115
Boston, MA 02215
Mailing address
Bidmc
330 Brookline Ave., Rose 115
Boston, MA 02215
Phone (617) 667-9600
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226398 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Internal Medicine | Current | Accepting new patients |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Massachusetts Institute of Technology | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
330 Brookline Ave
#6
Boston, MA 02215
330 Brookline Ave
#115
Boston, MA 02215
25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1346308723
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225130644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BIDMC",
"address_2": "330 BROOKLINE AVE., ROSE 115",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BETH ISRAEL DEACONESS MEDICAL CENTER",
"address_2": "330 BROOKLINE AVENUE, ROSE 115",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER-BROWN",
"first_name": "ANGELA",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "226398",
"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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.