Individual provider Active NPI

Shira Hanna Brown, MD

  • Pediatrics Physician
  • Chestnut Hill, MA
National Provider Identifier
1578699245
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
234582 Issued in MA
Practice address
291 Independence Dr
Pediatrics Dept
Chestnut Hill, MA 02467-3628
Phone
(617) 541-6400
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 234582 MA Primary

Addresses

Primary practice location

291 Independence Dr
Pediatrics Dept
Chestnut Hill, MA 02467-3628

Mailing address

291 Independence Dr
Pediatrics Dept
Chestnut Hill, MA 02467-3628
Phone (617) 541-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbrown20437@direct.atrius.masshiway.net

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

State licenses

LicenseStateTypeSpecialty
234582MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1578699245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE DR",
            "address_2": "PEDIATRICS DEPT",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673628",
            "telephone_number": "617-541-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE DR",
            "address_2": "PEDIATRICS DEPT",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673628",
            "telephone_number": "617-541-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHIRA",
        "middle_name": "HANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "234582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrown20437@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "291 Independence Dr",
            "address_2": "Pediatrics Dept",
            "city": "Chestnut Hill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024673628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.