Individual provider Active NPI

Gary Trey, M.D.

  • Gastroenterology Physician
  • Brookline, MA
National Provider Identifier
1508853417
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
57207 Issued in MA
Practice address
1180 Beacon St Ste 6B
Brookline, MA 02446-3806
Phone
(817) 770-4064
Fax
(781) 682-6157
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 57207 MA Primary

Addresses

Primary practice location

1180 Beacon St Ste 6B
Brookline, MA 02446-3806

Mailing address

45 Longwood Ave
Apartment a
Brookline, MA 02446-5244
Phone (617) 731-2676

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000933 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 7214965854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Tulane University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

289 Pleasant St
Suite 501
Fall River, MA 02721-3005
Phone (508) 679-6611

Hospital & facility affiliations

  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy137
Upper gastrointestinal (GI) endoscopy for acid reflux131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57207MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holtzman Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Cambridge Public Health Commission CurrentSince Sep 1, 2005 Accepting new patients
Prima Care, PC CurrentSince Dec 1, 2024 Accepting new patients
Prima Care, PC CurrentSince Dec 1, 2024 Accepting new patients
Holtzman Medical Specialty Services Gastroenterology PastSince Sep 1, 2021 Accepting new patients

Locations

1180 Beacon St
Ste 6B
Brookline, MA 02446
Phone (617) 735-8868

1493 Cambridge St
#10
Cambridge, MA 02139
Phone (617) 665-1616

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

289 Pleasant St
Fall River, MA 02721
Phone (508) 674-7779

289 Pleasant St
Ste 501
Fall River, MA 02721
Phone (508) 679-6611

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

879 Main St
Weymouth, MA 02190
Phone (781) 770-4064

Interoperability endpoints

  • Direct secure messaging: gary.trey@prima.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16324/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1508853417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LONGWOOD AVE",
            "address_2": "APARTMENT A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465244",
            "telephone_number": "617-731-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 6B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "817-770-4064",
            "fax_number": "781-682-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREY",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "57207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.