Individual provider Active NPI

Brenda Ann Neary, M.D.

  • Gynecology Physician
  • Worcester, MA
National Provider Identifier
1639133630
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
79868 Issued in MA
Practice address
67 Belmont St
Suite 101
Worcester, MA 01605-2657
Phone
(508) 752-1491
Fax
(508) 752-8192
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 79868 MA Primary

Addresses

Primary practice location

67 Belmont St
Suite 101
Worcester, MA 01605-2657

Mailing address

67 Belmont St
Suite 101
Worcester, MA 01605-2657
Phone (508) 752-1491

Other identifiers 2

IdentifierTypeStateIssuer
3128768MedicaidMA
9702211MedicaidMA

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
I20050510001145 MA Practitioner - Obstetrics/Gynecology 9739129644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Massachusetts Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neary and Hunter OB/GYN LLCGroup PAC ID 3577506906, 4 clinicians

Practice addresses (Care Compare)

67 Belmont St
Suite 104
Worcester, MA 01605-2657
Phone (508) 752-1491

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neary & Hunter OB/GYN LLC CurrentSince Dec 4, 2000 Accepting new patients

Locations

67 Belmont St
Worcester, MA 01605
Phone (508) 334-8996

67 Belmont St
Ste 101
Worcester, MA 01605
Phone (508) 752-1491

67 Belmont St
Ste 104
Worcester, MA 01605
Phone (508) 752-1491

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1639133630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BELMONT ST",
            "address_2": "SUITE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052657",
            "telephone_number": "508-752-1491",
            "fax_number": "508-752-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BELMONT ST",
            "address_2": "SUITE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052657",
            "telephone_number": "508-752-1491",
            "fax_number": "508-752-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEARY",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "79868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128768",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9702211",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.