Individual provider Active NPI

Brianna Rae Leung, PA-C

  • Surgical Physician Assistant
  • Natick, MA
National Provider Identifier
1336865351
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9069 Issued in MA
Practice address
313 Speen St
Natick, MA 01760-1538
Phone
(508) 655-0471
Fax
(508) 650-3547
NPI assigned
Oct 12, 2022
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9069 MA Primary

Addresses

Primary practice location

313 Speen St
Natick, MA 01760-1538

Mailing address

313 Speen St
Natick, MA 01760-1538
Phone (508) 655-0471

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331001290 MA Practitioner - Physician Assistant 5890160030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics New England IncGroup PAC ID 6800976770, 27 clinicians

Practice addresses (Care Compare)

313 Speen St
Natick, MA 01760-1538
Phone (508) 655-0471

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9069MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics New England, Inc CurrentSince Sep 30, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Orthopedics New England 3, LLC Past Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

313 Speen St
Natick, MA 01760
Phone (508) 655-0471

100 Rosebrook Way
Wareham, MA 02571
Phone (508) 273-4950

Interoperability endpoints

  • Direct secure messaging: bleung68669@direct.southcoast.org
  • Direct secure messaging: leung.brianna.nwh@direct.partners.masshiway.net

Organizations & group practices 7

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 4

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1336865351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SPEEN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601538",
            "telephone_number": "508-655-0471",
            "fax_number": "508-650-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SPEEN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601538",
            "telephone_number": "508-655-0471",
            "fax_number": "508-650-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "BRIANNA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA9069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.