Individual provider Active NPI

Katie L McBrine, M.D.

  • Pediatrics Physician
  • Scituate, MA
National Provider Identifier
1659548303
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
235504 Issued in MA
Practice address
10 New Driftway
Suite 201
Scituate, MA 02066-4546
Phone
(781) 545-9225
Fax
(781) 545-8560
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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 235504 MA Primary

Addresses

Primary practice location

10 New Driftway
Suite 201
Scituate, MA 02066-4546

Mailing address

10 New Driftway
Suite 201
Scituate, MA 02066-4546
Phone (781) 545-9225

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
I20090827000096 MA Practitioner - Pediatric Medicine 3577618594 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC Pediatrics CurrentSince Feb 1, 2012 Accepting new patients

Locations

10 New Driftway
Ste 201
Scituate, MA 02066
Phone (781) 545-9225

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

Interoperability endpoints

  • Direct secure messaging: katiemcbrine@hcs.allscriptsdirect.net

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1659548303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEW DRIFTWAY",
            "address_2": "SUITE 201",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664546",
            "telephone_number": "781-545-9225",
            "fax_number": "781-545-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEW DRIFTWAY",
            "address_2": "SUITE 201",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664546",
            "telephone_number": "781-545-9225",
            "fax_number": "781-545-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRINE",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "235504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

Verify at the official NPI Registry.