Individual provider Active NPI

Bruce Frederick Cohen, M.D.

  • Maternal & Fetal Medicine Physician
  • Brookline, MA
National Provider Identifier
1407895741
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
78573 Issued in MA
Practice address
1 Brookline PL
Brookline, MA 02445
Phone
(617) 754-5550
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 281197 NY
Maternal & Fetal Medicine Physician 207VM0101X 281197 NY
Maternal & Fetal Medicine Physician 207VM0101X 78573 MA Primary

Addresses

Primary practice location

1 Brookline PL
Brookline, MA 02445

Mailing address

1 Brookline PL
Brookline, MA 02445-7294
Phone (617) 754-5550

Other practice location 1

2210 Troy Schenectady Rd
Niskayuna, NY 12309-4725
Phone (518) 346-9430

Other practice location 2

2231 Burdett Ave
Troy, NY 12180-2480
Phone (518) 271-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090327000183 MA Practitioner - Obstetrics/Gynecology 6103983671 Reassigns benefits to 2 organizations
I20160229001569 NY Practitioner - Obstetrics/Gynecology 6103983671 Reassigns benefits to 1 organization
I20190111003094 FL Practitioner - Obstetrics/Gynecology 6103983671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Perelman School of Med at the University of Pennsylvania, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston MFM LLCGroup PAC ID 5597981068, 2 clinicians

Practice addresses (Care Compare)

1 Brookline PL
Suite 301
Brookline, MA 02445-7294
Phone 61726403641008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78573MAMDMaternal & Fetal Medicine Physician
281197NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince Feb 1, 2019 Accepting new patients
Nchmd, Inc CurrentSince Feb 1, 2019 Accepting new patients
Boston MFM, LLC Maternal & Fetal Medicine Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 3, 1996 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Mar 1, 2019 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Obstetrics & Gynecology CurrentSince Oct 3, 1996 Accepting new patients

Locations

11190 Health Park Blvd
Ste 2220
Naples, FL 34110

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

1 Brookline Pl
Brookline, MA 02445
Phone (617) 232-3030

1 Brookline Pl
Ste 301
Brookline, MA 02445
Phone (617) 264-0364

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

2231 Burdett Ave
Ste 110
Troy, NY 12180
Phone (518) 271-3900

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: bcohen19113@nchhealthcaresystem.direct-ci.com
  • Direct secure messaging: bruce.cohen.2@10678.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1407895741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457294",
            "telephone_number": "617-754-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "617-754-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Troy Schenectady Rd",
            "address_purpose": "LOCATION",
            "city": "Niskayuna",
            "state": "NY",
            "postal_code": "123094725",
            "country_code": "US",
            "telephone_number": "518-346-9430",
            "fax_number": "617-264-0365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2231 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802480",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BRUCE",
        "middle_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "281197",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "281197",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MA",
            "license": "78573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.