Active NPI
Vandy Briana Bontemps
- Physician Assistant
- Boston, MA
National Provider Identifier
1265216196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA101184
- Practice address
- 30 Leon St
Boston, MA 02115-5009 - Phone
- (617) 373-2000
- NPI assigned
- Aug 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA101184 | MA | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
30 Leon St
Boston, MA 02115-5009
Mailing address
62 Morgan St
Randolph, MA 02368-2216
Phone (857) 399-6287
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
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
909 Sumner St
Stoughton, MA 02072-3396
Phone 8328694818235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA101184 | MA | MD | Physician Assistant |
Organizations & group practices 3
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.
-
dba Psychplus Associates
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
MA
-
dba Signature Medical
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1265216196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MORGAN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682216",
"telephone_number": "857-399-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LEON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155009",
"telephone_number": "617-373-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONTEMPS",
"first_name": "VANDY",
"middle_name": "BRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA101184",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 11, 2025; 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.