NPIMap

Organization Active NPI

Beacon Primary Medicine

  • Health Service Clinic/Center
  • Brookline, MA
National Provider Identifier
1336458439
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
78250 Issued in MA
Legal business name
BEACON PRIMARY MEDICINE
Practice address
1755 Beacon St
Brookline, MA 02445-5349
Phone
(617) 794-1463
NPI assigned
Oct 7, 2010
Last updated
Oct 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Robin Stanton Mayfield, M.D.NPI 1225098924
Title
President
Phone
(617) 794-1463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 78250 MA Primary

Addresses

Primary practice location

1755 Beacon St
Brookline, MA 02445-5349

Mailing address

1755 Beacon St
Brookline, MA 02445-5349
Phone (617) 794-1463

National Provider Directory

National Provider Directory
Tax ID family
Beacon Primary Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6139/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1336458439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455349",
            "telephone_number": "617-794-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455349",
            "telephone_number": "617-794-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PRIMARY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "STANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-794-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": "78250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.