Brian Kwon, MD PC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

216761 Issued in MA

Legal business name

BRIAN KWON, MD PC

Practice address

125 Parker Hill Ave
Converse 4
Roxbury Crossing, MA 02120-2847

Phone

(617) 754-6586

Fax

(617) 754-5593

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Brian Kwon, M.D.

Title

Owner

Phone

(617) 754-6486

Specialties & licenses 1

Addresses

Other identifiers 4

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18452/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1558359190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "address_2": "CONVERSE 4",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-6586",
            "fax_number": "617-754-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "address_2": "CONVERSE 4",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-6586",
            "fax_number": "617-754-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN KWON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-754-6486",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "216761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M18822",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "470668",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA16221",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9733370",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Dunn Bolte, NP RN
• Meryn Rita Boraski, CRNA
• Boston Cardiovascular Associates, P.C.
• Boston Hematology & Oncology
• Boston Partners in Mentoring Inc
• Jane Elizabeth Brodie, PH.D.
• Stephen J Camer, MD
• Lauren Cardoso
• Carl T Talmo MD PC
• Kimberly Liching Kit Castro, PT

• Orthopaedic Surgery of the Spine Physician in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Orthopaedic Surgery of the Spine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.