Active NPI
Brian Orr Pediatrics LLC
- Pediatrics Physician
- Gloucester, MA
National Provider Identifier
1467878124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BRIAN ORR PEDIATRICS LLC
- Practice address
- 1 Blackburn Dr
Gloucester, MA 01930-2237 - Phone
- (978) 430-9622
- NPI assigned
- Mar 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian G Orr, MD
- Title
- Owner
- Phone
- (978) 430-9622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1 Blackburn Dr
Gloucester, MA 01930-2237
Mailing address
1 Blackburn Dr
Gloucester, MA 01930-2237
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2075520 | Brian Orr Pediatrics LLC | Certificate of waiver | Mar 30, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/8561/brand/1/csg/1/fhir/r4
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": "1393977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393977600000",
"number": "1467878124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BLACKBURN DR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BLACKBURN DR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302237",
"telephone_number": "978-430-9622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN ORR PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A",
"authorized_official_last_name": "ORR",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-430-9622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.