Active NPI
Bcpsi PC
- Plastic Surgery Physician
- Brookline, MA
National Provider Identifier
1396507638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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.