Active NPI
Stuart McLellan Grey, D.C.
- Chiropractor
- Brookline, MA
National Provider Identifier
1366585036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1772
- Practice address
- 1141 Beacon St Ste C1
Brookline, MA 02446-5507 - Phone
- (617) 738-7428
- Fax
- (617) 739-3354
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1772 | MA | Primary |
Addresses
Primary practice location
1141 Beacon St Ste C1
Brookline, MA 02446-5507
Mailing address
36 Hampstead Rd
Jamaica Plain, MA 02130-3911
Phone (617) 522-2837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36287 | Other | MA | B.C.B.S. OF MA PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060424000322 | MA | Practitioner - Chiropractic | 4981614765 | Practice locations: Brookline, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1141 Beacon St
Suite 1
Brookline, MA 02446-5528
Phone (617) 997-3753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1772 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366585036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HAMPSTEAD RD",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303911",
"telephone_number": "617-522-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 BEACON ST STE C1",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465507",
"telephone_number": "617-738-7428",
"fax_number": "617-739-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "STUART",
"middle_name": "MCLELLAN",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B.C.B.S. OF MA PROVIDER",
"identifier": "Y36287",
"state": "MA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.