Philip D Anderson, M.D.
Individual provider Active NPI Emergency Medicine Physician · Boston, MA
NPI 1477540235 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477540235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 79954 (MA)
- Practice address
- 1 Deaconess Rd
Bidmc Dept of Emergency Medicine
Boston, MA 02215-5321 - Phone
- (617) 754-2324
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Massachusetts Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brigham and Womens Physicians Organization Inc
Practice addresses (Care Compare)
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
- Brigham and Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080409000471 | MA | Practitioner - Emergency Medicine | 9234216607 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Emergency Medicine | Current |
Accepting new patients |
| The General Hospital Corporation | Current |
Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Past | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Emergency Medicine | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Interoperability endpoints
- anderson.philip.bwh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 79954 | MA | Yes |
Addresses
Primary practice location
1 Deaconess Rd
Bidmc Dept of Emergency Medicine
Boston, MA 02215-5321
Mailing address
4 Vogel Ter
Brookline, MA 02445-6708
Phone (617) 731-8807
NPI Registry JSON
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477540235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 VOGEL TER",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456708",
"telephone_number": "617-731-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DEACONESS RD",
"address_2": "BIDMC DEPT OF EMERGENCY MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155321",
"telephone_number": "617-754-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "PHILIP",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "79954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
- Michael Anderson
- Michelle Anderson
- Monique Rochelle Anderson
- Nathan Putnam Anderson
- Paul J Anderson
- Rachel Ellen Poritsky Anderson
- Richard Rox Anderson
- Ronald J Anderson
- Samuel Anderson
- Sara Carmer Anderson
All providers in Boston, MA · Emergency Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.