Individual provider Active NPI

Brian Kwon, MD

  • Orthopaedic Surgery Physician
  • Waltham, MA
National Provider Identifier
1306848890
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
216761 Issued in MA
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

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2075733MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000349 MA Practitioner - Orthopedic Surgery 9537133152 Reassigns benefits to 2 organizations

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
Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133

Hospital & facility affiliations

  • Bayada Home Health Care , Inc Home health agency, Hyannis, MA, CCN 227466
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • New England Baptist Hospital Hospital, Boston, MA, CCN 220088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion125
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

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Boston Sports & Shoulder Center, LLC Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Boston Sports & Shoulder Center, LLC Orthopaedic Surgery CurrentSince Jul 1, 2022 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

  • Direct secure messaging: brian.kwon.2@749.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18452/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.