Individual provider Active NPI

Richard Alan Bartlett, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Brookline, MA
National Provider Identifier
1568418465
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
73817 Issued in MA
Practice address
77 Pond Ave
Ste 104C
Brookline, MA 02445-7115
Phone
(617) 735-1800
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 73817 MA Primary

Addresses

Primary practice location

77 Pond Ave
Ste 104C
Brookline, MA 02445-7115

Mailing address

PO Box 414475
Boston, MA 02241-4475
Phone (617) 735-1800

Other identifiers 1

IdentifierTypeStateIssuer
0196746MedicaidMA

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
I20050412001229 MA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5597755264 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Hospital Current Accepting new patients
Richard a. Bartlett, MD, PC Current Accepting new patients
Brigham & Womens Physicians Organization Inc Past Accepting new patients
Brookline Village OBGYN LLC Past Accepting new patients

Locations

77 Pond Ave
Ste 104C
Brookline, MA 02445
Phone (617) 566-3900

Interoperability endpoints

  • Direct secure messaging: bartlett.richarda.bwh@direct.partners.masshiway.net
  • Direct secure messaging: rbartlett29769@tuftsmedicine.direct-ci.com

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.

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": "1504051200000",
    "number": "1568418465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414475",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414475",
            "telephone_number": "617-735-1800",
            "fax_number": "617-735-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 POND AVE",
            "address_2": "STE 104C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457115",
            "telephone_number": "617-735-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "73817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196746",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.