Elliott Gerald Segal, M.D.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

28902 Issued in MA

Practice address

126B Sewall Ave
Brookline, MA 02446-5327

Phone

(617) 734-8231

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265446157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126B SEWALL AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465327",
            "telephone_number": "617-734-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126B SEWALL AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465327",
            "telephone_number": "617-734-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "ELLIOTT",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MA",
            "license": "28902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott H. Kaye DPM PC
• Emily Ann Scott
• Niva D Scott, SOCIAL WORKER
• Sean M. Langton, DMD, PLLC
• Austin Seeley, LCSW
• Ronald S Segal, D.M.D.
• Edward David Segel, PT
• Cristine Seitz, MS RD LDN
• Lynda Seletsky, LICSW
• Kathy Joy Seltzer, LIC.AC.

• Addiction Medicine (Psychiatry & Neurology) Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Massachusetts

• 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.

Verify at the official NPI Registry.