Individual provider Active NPI

Julie D Miner, MD

  • Obstetrics & Gynecology Physician
  • Boston, MA
National Provider Identifier
1326005620
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
153900 Issued in MA
Practice address
1153 Centre St
Brigham Faulkner OBGYN Associates PC Ste 36
Boston, MA 02130
Phone
(617) 983-7003
NPI assigned
Apr 28, 2006
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 153900 MA Primary

Addresses

Primary practice location

1153 Centre St
Brigham Faulkner OBGYN Associates PC Ste 36
Boston, MA 02130

Mailing address

1153 Centre St
Brigham Faulkner OBGYN Associates PC Ste 36
Boston, MA 02130
Phone (617) 983-7003

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
I20110127001146 MA Practitioner - Obstetrics/Gynecology 4880873447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Yale University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham Faulkner OB GYN Associates PCGroup PAC ID 7214924786, 6 clinicians

Practice addresses (Care Compare)

1153 Centre St
Boston, MA 02130-3446
Phone (617) 983-7003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153900MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Faulkner Hospital Inc Current Accepting new patients
Brigham Faulkner OB GYN Associates PC Obstetrics & Gynecology CurrentSince Aug 20, 1997 Accepting new patients

Locations

1153 Centre St
#36
Jamaica Plain, MA 02130

1153 Centre St
Ste 3C
Jamaica Plain, MA 02130
Phone (617) 983-7003

1153 Centre St
Ste 36
Jamaica Plain, MA 02130
Phone (617) 983-7003

Interoperability endpoints

  • Direct secure messaging: miner.julie.bfob@direct.partners.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1326005620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "BRIGHAM FAULKNER OBGYN ASSOCIATES PC STE 36",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-983-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "BRIGHAM FAULKNER OBGYN ASSOCIATES PC STE 36",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-983-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "JULIE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "153900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.