Individual provider Active NPI

Andrew R Phenix, PA-C

  • Medical Physician Assistant
  • Boston, MA
National Provider Identifier
1649645201
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5570 Issued in MA
Practice address
75 Francis Street, PBB-B 428
Brigham and Women'S Hospital
Boston, MA 02115
Phone
(617) 732-5500
NPI assigned
Dec 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA5570 MA Primary

Addresses

Primary practice location

75 Francis Street, PBB-B 428
Brigham and Women'S Hospital
Boston, MA 02115

Mailing address

237 State Rd
Dartmouth, MA 02747-2612
Phone (508) 979-5557

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211002441 MA Practitioner - Physician Assistant 4880998889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

116 Belmont St
RM 26
Worcester, MA 01605-2964
Phone (508) 979-5557

226 -230 Field St
New Bedford, MA 02740-2133
Phone (508) 817-5129

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

237 State Rd
North Dartmouth, MA 02747-2612
Phone (508) 979-5557

67 Union St
Natick, MA 01760-7700
Phone (508) 817-5129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5570MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Hospital Current Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

75 Francis St
#428
Boston, MA 02115
Phone (617) 732-6794

Interoperability endpoints

  • Direct secure messaging: phenix.andrew.bwh@direct.partners.masshiway.net

Organizations & group practices 4

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": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1649645201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472612",
            "telephone_number": "508-979-5557",
            "fax_number": "508-979-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS STREET, PBB-B 428",
            "address_2": "BRIGHAM AND WOMEN'S HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHENIX",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.