Organization Active NPI

Bcpsi PC

  • Plastic Surgery Physician
  • Brookline, MA
National Provider Identifier
1396507638
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BCPSI PC
Practice address
1 Brookline PL Ste 427
Brookline, MA 02445-7296
Phone
(617) 735-8735
Fax
(617) 738-9063
NPI assigned
Jan 23, 2024
Organization subpart
Yes
Parent organization
ADULT & PEDIATRIC DERMATOLOGY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Samuel Goos, MD
Title
Managing Partner
Phone
(978) 371-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

1 Brookline PL Ste 427
Brookline, MA 02445-7296

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 849-7537

National Provider Directory

National Provider Directory
Part of
Apderm Path

Locations

1 Brookline Pl
Ste 427
Brookline, MA 02445
Phone (617) 735-8735

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1396507638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-849-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 427",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457296",
            "telephone_number": "617-735-8735",
            "fax_number": "617-738-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCPSI PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT & PEDIATRIC DERMATOLOGY, P.C.",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "GOOS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "978-371-7010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "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 Jan 23, 2024; 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.