Individual provider Active NPI

Laurent Constance Delli-Bovi, MD

  • Obstetrics & Gynecology Physician
  • Brookline, MA
National Provider Identifier
1255398574
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
41986 Issued in MA
Practice address
111 Harvard St
Brookline, MA 02446-6427
Phone
(617) 277-1774
Fax
(617) 277-3248
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 41986 MA Primary

Addresses

Primary practice location

111 Harvard St
Brookline, MA 02446-6427

Mailing address

111 Harvard St
Brookline, MA 02446-6427
Phone (617) 277-1774

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000917 MA Practitioner - Obstetrics/Gynecology 4688603525 Practice locations: Brookline, MA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41986MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurent C. Delli-Bovi, MD PastSince Jan 1, 1990 Accepting new patients
Brigham and Womens Physicians Organization Inc Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: delli-bovi.laurent.lcdfz@direct.partners.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1255398574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466427",
            "telephone_number": "617-277-1774",
            "fax_number": "617-277-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466427",
            "telephone_number": "617-277-1774",
            "fax_number": "617-277-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLI-BOVI",
        "first_name": "LAURENT",
        "middle_name": "CONSTANCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "41986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.