Active NPI
Brendan J. Carolan, MD
- Pulmonary Disease Physician
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 261626
- Practice address
- 191 Bedford Street
Fall River, MA 02721-3050 - Phone
- (508) 679-4239
- Fax
- (303) 270-2174
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | P58489 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 49576 | CO | |
| Pulmonary Disease Physician | 207RP1001X | 261626 | MA | Primary |
Addresses
Primary practice location
191 Bedford Street
Fall River, MA 02721-3050
Mailing address
PO Box 1070
Fall River, MA 02722-1070
Phone (508) 676-3292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61278866 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
203 Plymouth Ave
Suite 701
Fall River, MA 02721-4300
Phone (508) 676-3292
277 Pleasant St
Fall River, MA 02721-3005
289 Pleasant St
Fall River, MA 02721-3005
67 Slade'S Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49576 | CO | MD | Pulmonary Disease Physician |
| 261626 | MA | MD | Pulmonary Disease Physician |
| P58489 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Carepoint P.C. | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
191 Bedford St
Fall River, MA 02720
Phone (508) 235-5445
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Interoperability endpoints
- brendan.carolan@prima.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1275516346
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1407015449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1070",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027221070",
"telephone_number": "508-676-3292",
"fax_number": "508-672-7181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 BEDFORD STREET",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213050",
"telephone_number": "508-679-4239",
"fax_number": "303-270-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROLAN",
"first_name": "BRENDAN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "P58489",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CO",
"license": "49576",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "261626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61278866",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.