NPIMap

Individual provider Active NPI

Theodore Andrew Brown, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1295363950
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1023082 Issued in MA
Practice address
89 E Dedham St Apt 618
Boston, MA 02118-3556
Phone
(510) 648-8871
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1023082 MA Primary

Addresses

Primary practice location

89 E Dedham St Apt 618
Boston, MA 02118-3556

Mailing address

89 E Dedham St Apt 618
Boston, MA 02118-3556
Phone (510) 648-8871

Other practice location 1

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251003001220 MA Practitioner - Diagnostic Radiology 5294156253 Reassigns benefits to 4 organizations
I20260225002480 IA Practitioner - Diagnostic Radiology 5294156253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Linwood St
Arlington, MA 02474-6608
Phone (952) 595-1100

89 E Dedham St
Apt 618
Boston, MA 02118-3556
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288156MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Feb 17, 2026 Accepting new patients
Belmond Community Hospital CurrentSince Feb 17, 2026 Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Steuben Radiology Associates Inc Diagnostic Radiology CurrentSince Jan 9, 2026 Accepting new patients
Belmond Community Hospital CurrentSince Feb 17, 2026 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Feb 17, 2026 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Sep 29, 2025 Accepting new patients
Olean General Hospital CurrentSince Dec 5, 2025 Accepting new patients
Arkansas Valley Regional Medical Center Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

10 Little Brook Rd
West Wareham, MA 02576

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

Interoperability endpoints

  • Direct secure messaging: tbrown140549@direct.bmc.masshiway.net

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1295363950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 E DEDHAM ST APT 618",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183556",
            "telephone_number": "510-648-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 E DEDHAM ST APT 618",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183556",
            "telephone_number": "510-648-8871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THEODORE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1023082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.