Active NPI
Jane Brady, DPM
- Podiatrist
- Braintree, MA
National Provider Identifier
1346305059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2195
- Practice address
- 111 Grossman Dr
Braintree, MA 02184-4997 - Phone
- (781) 849-2285
- Fax
- (781) 849-2452
- NPI assigned
- Dec 22, 2006
- Last updated
- May 17, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2195 | MA | Primary |
Addresses
Primary practice location
111 Grossman Dr
Braintree, MA 02184-4997
Mailing address
147 Milk St
Boston, MA 02109-4806
Phone (617) 421-2508
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001295 | Other | MA | TUFTS |
| 7380911-001 | Other | MA | HEALTHSOURCE |
| Y71099 | Other | MA | BCBS |
| 0317179 | Medicaid | MA | |
| 0027935 | Other | MA | NHP |
| 7389011-001 | Other | MA | CIGNA |
| 334065 | Other | MA | HPHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert S. Stipek, D.P.M. | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1AN2znHfTFaFUc4YPucjdabPqWM4Ifu6/
Organizations & group practices 1
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.
-
dba Middlesex Regional Podiatry
- Foot & Ankle Surgery Podiatrist
- Burlington, MA
- NPI 1386852580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1346305059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 MILK ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094806",
"telephone_number": "617-421-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GROSSMAN DR",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021844997",
"telephone_number": "781-849-2285",
"fax_number": "781-849-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "JANE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "001295",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "7380911-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y71099",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0317179",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0027935",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7389011-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "334065",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.