Active NPI
Kurt F Brierly, PA
- Physician Assistant
- Haverhill, MA
National Provider Identifier
1639441918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- S32735838
- Practice address
- 140 Lincoln Ave
Haverhill, MA 01830-6700 - Phone
- (978) 374-2000
- Fax
- (781) 828-2471
- NPI assigned
- Feb 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | S32735838 | MA | Primary |
Addresses
Primary practice location
140 Lincoln Ave
Haverhill, MA 01830-6700
Mailing address
1 Edward St
Canton, MA 02021-2303
Phone (781) 828-3533
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S32735838 | MA | MD | Physician Assistant |
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.
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- NPI 1144544040
-
- Family Medicine Physician
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- NPI 1295787919
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1215724364
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1639441918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EDWARD ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020212303",
"telephone_number": "781-828-3533",
"fax_number": "781-828-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 LINCOLN AVE",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306700",
"telephone_number": "978-374-2000",
"fax_number": "781-828-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIERLY",
"first_name": "KURT",
"middle_name": "F",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-02",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "S32735838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.