Individual provider Active NPI

Bradley H Stone

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1417511999
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7230 Issued in MA
Practice address
Tufts Medical Center 800 Washington St
Boston, MA 02111
Phone
(617) 636-5000
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA7230 MA Primary

Addresses

Primary practice location

Tufts Medical Center 800 Washington St
Boston, MA 02111

Mailing address

3 Kent CT Apt 1
Somerville, MA 02143-3599
Phone (773) 407-0854

Other practice location 1

299 Washington St
Newton, MA 02458-1612
Phone (617) 340-8899

Other practice location 2

299 Washington St
Newton, MA 02458-1612
Phone (617) 340-8899

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025002871 MA Practitioner - Physician Assistant 3577951516 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA7230MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 1, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 1, 2024 Accepting new patients
DRX UC Watertown PC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1254 Boylston St
Boston, MA 02215
Phone (508) 233-9112

376 Arsenal St
Watertown, MA 02472
Phone (617) 923-2273

Interoperability endpoints

  • Direct secure messaging: bstone29747@tuftsmedicine.direct-ci.com

Organizations & group practices 4

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1417511999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KENT CT APT 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433599",
            "telephone_number": "773-407-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TUFTS MEDICAL CENTER 800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Washington St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024581612",
            "country_code": "US",
            "telephone_number": "617-340-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "299 Washington St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024581612",
            "country_code": "US",
            "telephone_number": "617-340-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "BRADLEY",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.