Active NPI
Brian Kwon, MD
- Orthopaedic Surgery Physician
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 216761
- Practice address
- 71 Border Rd Ste 300
Waltham, MA 02451-1044 - Phone
- (781) 890-2133
- Fax
- (781) 890-2177
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 216761 | MA | |
| Orthopaedic Surgery Physician | 207X00000X | 216761 | MA | Primary |
Addresses
Primary practice location
71 Border Rd Ste 300
Waltham, MA 02451-1044
Mailing address
71 Border Rd Ste 300
Waltham, MA 02451-1044
Phone (781) 890-2133
Other practice location 1
125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-6586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075733 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Washington University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133
Hospital & facility affiliations
- Bayada Home Health Care , Inc
- Mass General Brigham Home Care, Inc
- Croi Health
- New England Baptist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 125 |
| Laminectomy or laminotomy (partial removal of spine bones) | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Orthopaedic Alliance PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Boston Sports & Shoulder Center, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Northeast Orthopaedic Alliance PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Boston Sports & Shoulder Center, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
830 Boylston St
Ste 107
Chestnut Hill, MA 02467
Phone (617) 264-1100
40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100
125 Parker Hill Ave
#4
Roxbury Xing, MA 02120
Phone (617) 754-5470
125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100
840 Winter St
Waltham, MA 02451
Phone (781) 487-9944
71 Border Rd
Ste 300
Waltham, MA 02451
Phone (781) 890-2133
150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222
Interoperability endpoints
- brian.kwon.2@749.direct.athenahealth.com
- https://api.platform.athenahealth.com/18452/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/749/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Waltham, MA
- NPI 1417724170
-
- Orthopaedic Surgery Physician
- Waltham, MA
- NPI 1437184165
-
- Orthopaedic Surgery Physician
- Westborough, MA
- NPI 1770975823
-
- Durable Medical Equipment & Medical Supplies
- Derry, NH
- NPI 1477374155
Orthopaedic Surgery
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- Home Health Agency
- Wilmington, MA
- NPI 1285673194
-
- Home Health Agency
- Plymouth, MA
- NPI 1366481293
-
- Home Health Agency
- Hyannis, MA
- NPI 1770523292
-
- Home Health Agency
- Falmouth, MA
- NPI 1831138726
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
-
- Home Health Agency
- Norwell, MA
- NPI 1043398498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1306848890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 BORDER RD STE 300",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511044",
"telephone_number": "781-890-2133",
"fax_number": "781-890-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 BORDER RD STE 300",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511044",
"telephone_number": "781-890-2133",
"fax_number": "781-890-2177"
}
],
"practiceLocations": [
{
"address_1": "125 Parker Hill Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021202847",
"country_code": "US",
"telephone_number": "617-754-6586",
"fax_number": "617-754-6482",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWON",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MA",
"license": "216761",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "216761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2075733",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.