Active NPI
Bruce H Suzuki, M.D.
- Otolaryngology Physician
- Brookline, MA
National Provider Identifier
1518913151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 46041
- Practice address
- 1 Brookline PL
Suite 401
Brookline, MA 02445-7224 - Phone
- (617) 735-8855
- Fax
- (617) 735-8864
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 46041 | MA | Primary |
Addresses
Primary practice location
1 Brookline PL
Suite 401
Brookline, MA 02445-7224
Mailing address
1 Brookline PL
Suite 401
Brookline, MA 02445-7224
Phone (617) 735-8855
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19271 | Other | MA | HARVARD PILGRIM |
| 0110094 | Medicaid | MA | |
| 046041 | Other | MA | TUFTS |
| 040004225 | Other | MA | RAILROAD MEDICARE |
| C04864 | Other | MA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1518913151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL",
"address_2": "SUITE 401",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457224",
"telephone_number": "617-735-8855",
"fax_number": "617-735-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL",
"address_2": "SUITE 401",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457224",
"telephone_number": "617-735-8855",
"fax_number": "617-735-8864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUZUKI",
"first_name": "BRUCE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "46041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "19271",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110094",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "046041",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040004225",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "C04864",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.