NPIMap

Organization Active NPI

Bramblebush Pediatrics LLP

  • Pediatrics Physician
  • Falmouth, MA
National Provider Identifier
1669776993
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
232244 Issued in MA
Legal business name
BRAMBLEBUSH PEDIATRICS LLP
Practice address
15 Bramblebush Park
Falmouth, MA 02540-2325
Phone
(508) 548-6969
Fax
(508) 540-2793
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Dr. Kira Lyndsey Grant, D.O.
Title
Managing Partner
Phone
(508) 548-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 232244 MA Primary

Addresses

Primary practice location

15 Bramblebush Park
Falmouth, MA 02540-2325

Mailing address

15 Bramblebush Park
Falmouth, MA 02540-2325
Phone (508) 548-6969

Other identifiers 1

IdentifierTypeStateIssuer
9777369MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Bramblebush Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1669776993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRAMBLEBUSH PARK",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-548-6969",
            "fax_number": "508-540-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRAMBLEBUSH PARK",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-548-6969",
            "fax_number": "508-540-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAMBLEBUSH PEDIATRICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "KIRA",
        "authorized_official_middle_name": "LYNDSEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "508-548-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "232244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9777369",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.