Mill Brook Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

79768 Issued in MA

Legal business name

MILL BROOK PEDIATRICS

Practice address

490 Boston Post Rd
Sudbury, MA 01776

Phone

(978) 443-0707

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Wirth, MD

Title

Doctor

Phone

(978) 443-0707

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609975069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL BROOK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIRTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "978-443-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MA",
            "license": "79768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Medley
• Mello Psychiatry LLC
• Metro West Homecare, LLC
• Kathleen Michel
• April R Middleton
• Millbrook Smiles PC
• Jessica Mitchell, APRN
• Nicholas F Mollica, PSY. D
• Richard Thomas Monahan, PH.D.
• Carol Ellen Montgomery, PH.D.

• Pediatric Adolescent Medicine Physician in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Pediatric Adolescent Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.