Organization Active NPI

Fredric Brownstein, M.D. Facog, P.C.

  • Specialist
  • Springfield, MA
National Provider Identifier
1407042880
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
41818 Issued in MA
Legal business name
FREDRIC BROWNSTEIN, M.D. FACOG, P.C.
Practice address
2 Medical Center Dr
Suite 306
Springfield, MA 01107-1270
Phone
(413) 794-1020
Fax
(413) 794-8604
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Fredric Brownstein, M.D.
Title
President
Phone
(413) 794-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 41818 MA Primary

Addresses

Primary practice location

2 Medical Center Dr
Suite 306
Springfield, MA 01107-1270

Mailing address

2 Medical Center Dr
Suite 306
Springfield, MA 01107-1270
Phone (413) 794-1020

Other identifiers 1

IdentifierTypeStateIssuer
N51693OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2 Medical Center Dr
Ste 306
Springfield, MA 01107
Phone (413) 794-1020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1407042880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "SUITE 306",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071270",
            "telephone_number": "413-794-1020",
            "fax_number": "413-794-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "SUITE 306",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071270",
            "telephone_number": "413-794-1020",
            "fax_number": "413-794-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC BROWNSTEIN, M.D. FACOG, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "BROWNSTEIN",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-794-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "41818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "N51693",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.