Individual provider Active NPI

Ema Alice Barbosa Brown, RD

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Boston, MA
National Provider Identifier
1497411193
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
2354 Issued in MA
Practice address
BWH and BWH-Faulkner Hospital
75 Francis St, Asbii 3Rd Floor & 5TH FL. FH Suite D
Boston, MA 02115
Phone
(617) 732-8884
Fax
(617) 264-6315
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 2354 MA Primary

Addresses

Primary practice location

BWH and BWH-Faulkner Hospital
75 Francis St, Asbii 3Rd Floor & 5TH FL. FH Suite D
Boston, MA 02115

Mailing address

124 Rockland St
Canton, MA 02021-3192
Phone (573) 489-1729

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pvc.partners.org/saml Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000827 MA Practitioner - Registered Dietitian Or Nutrition Professional 7012930183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Dec 31, 2022 Accepting new patients
Brigham & Womens Hospital, Inc. CurrentSince May 12, 2022 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

Organizations & group practices 2

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1497411193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ROCKLAND ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213192",
            "telephone_number": "573-489-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BWH AND BWH-FAULKNER HOSPITAL",
            "address_2": "75 FRANCIS ST, ASBII 3RD FLOOR & 5TH FL. FH SUITE D",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-8884",
            "fax_number": "617-264-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOSA BROWN",
        "first_name": "EMA",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "MA",
            "license": "2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pvc.partners.org/saml",
            "affiliation": "N",
            "endpointDescription": "EPIC hyperspace",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic records",
            "address_1": "BWH and BWH-Faulkner Hospital",
            "address_2": "75 Francis St, ASBII 3rd floor & 5th Fl. FH Suite D",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.