Active NPI
Brenda J Geddis-Comrie, MD
- Family Medicine Physician
- Charlton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2144115
- Practice address
- 10 N Main St
Charlton, MA 01507-1590 - Phone
- (508) 248-3015
- Fax
- (508) 248-4734
- NPI assigned
- Sep 21, 2006
- Last updated
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2144115 | MA | Primary |
Addresses
Primary practice location
10 N Main St
Charlton, MA 01507-1590
Mailing address
10 N Main St
Charlton, MA 01507-1590
Phone (508) 248-3015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144115 | 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
- Family Practice
- Education
- State University of New York at Buffalo School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 N Main St
Charlton, MA 01507-1590
Phone (508) 248-3015
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2144115 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Past | Accepting new patients |
Locations
10 N Main St
Charlton, MA 01507
Phone (508) 248-3015
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
100 South St
Ste 102
Southbridge, MA 01550
Phone (508) 765-7860
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- brendageddiscomrie@hps.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Family Medicine
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gardner, MA
- NPI 1477526705
-
- Community Based Hospice Care Agency
- Gardner, MA
- NPI 1932172160
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
- Home Health Agency
- Worcester, MA
- NPI 1922002286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1306945092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N MAIN ST",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015071590",
"telephone_number": "508-248-3015",
"fax_number": "508-248-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N MAIN ST",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015071590",
"telephone_number": "508-248-3015",
"fax_number": "508-248-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEDDIS-COMRIE",
"first_name": "BRENDA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "2144115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2144115",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.