Active NPI
Boston Orthopedic & Sport Medicine
- Specialist
- Brighton, MA
National Provider Identifier
1356688170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 45262
- Legal business name
- BOSTON ORTHOPEDIC & SPORT MEDICINE
- Practice address
- 1505 Commonwealth Ave
Suite 340
Brighton, MA 02135-3605 - Phone
- (617) 782-7772
- NPI assigned
- Jan 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carol K. Ritter
- Title
- Office Manager
- Phone
- (617) 782-7772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 45262 | MA | Primary |
Addresses
Primary practice location
1505 Commonwealth Ave
Suite 340
Brighton, MA 02135-3605
Mailing address
1505 Commonwealth Ave
Suite 340
Brighton, MA 02135-3605
Phone (617) 782-7772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9740376 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brighton, MA
- NPI 1336234533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358121600000",
"number": "1356688170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 COMMONWEALTH AVE",
"address_2": "SUITE 340",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353605",
"telephone_number": "617-782-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 COMMONWEALTH AVE",
"address_2": "SUITE 340",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353605",
"telephone_number": "617-782-7772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON ORTHOPEDIC & SPORT MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A",
"authorized_official_last_name": "RITTER",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "617-782-7772",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "45262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9740376",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.