Active NPI
Beth Brownlow, M.D.
- Child & Adolescent Psychiatry Physician
- Concord, MA
National Provider Identifier
1295846079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 33131
- Practice address
- 414 Powder Mill Rd
Concord, MA 01742-4808 - Phone
- (978) 369-3272
- Fax
- (978) 369-4280
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 33131 | MA | Primary |
Addresses
Primary practice location
414 Powder Mill Rd
Concord, MA 01742-4808
Mailing address
414 Powder Mill Rd
Concord, MA 01742-4808
Phone (978) 369-3272
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26551 | Other | MA | CIGNA |
| 33131 | Other | MA | MEDICAL LICENSE |
| 5391020 | Other | MA | AETNA |
| 265373000 | Other | MA | MAGELLAN |
| M08409 | Other | MA | BLUE SHIELD |
| 002022 | Other | MA | VALUE OPTIONS |
| 717435 | Other | MA | TUFTS |
| AB6890087 | Other | MA | D.E.A. |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33131 | MA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295846079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 POWDER MILL RD",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424808",
"telephone_number": "978-369-3272",
"fax_number": "978-369-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 POWDER MILL RD",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424808",
"telephone_number": "978-369-3272",
"fax_number": "978-369-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNLOW",
"first_name": "BETH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "33131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "26551",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "33131",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5391020",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "265373000",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "M08409",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "002022",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "717435",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D.E.A.",
"identifier": "AB6890087",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.