Individual provider Active NPI

Brian Allen Wells, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1679839559
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
282700 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2696
Phone
(617) 726-2000
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 282158 NY
Diagnostic Radiology Physician 2085R0202X 282700 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

2054 Riverside Ave Apt 1201
Jacksonville, FL 32204-4438
Phone (352) 222-0999

Other practice location 1

Hsc T16 20
Stony Brook, NY 11794-8160
Phone (631) 444-8478

Other practice location 2

Hsc T16 20
Stony Brook, NY 11794
Phone (631) 444-8478

Other practice location 3

79 Middleville Rd
Northport, NY 11768-2200
Phone (352) 222-0999

Other practice location 4

655 W 8th St
Jacksonville, FL 32209
Phone (352) 222-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200721002493 MA Practitioner - Diagnostic Radiology 2466753801 Reassigns benefits to 11 organizations
I20230705002170 NH Practitioner - Diagnostic Radiology 2466753801 Reassigns benefits to 2 organizations
I20241114003881 FL Practitioner - Diagnostic Radiology 2466753801 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

Boston, MA 02114-2257
Phone (407) 200-2355

50 Staniford St
Boston, MA 02114-2517
Phone (617) 724-0287

67 Corporate Dr
Portsmouth, NH 03801-2847

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282158NYMDInternal Medicine Physician
282700MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Dickinson Hospital Inc CurrentSince Aug 1, 2021 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
The General Hospital Corporation CurrentSince Jul 9, 2020 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Brigham & Womens Physicians Organization Inc Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC CurrentSince Dec 16, 2024 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Jan 12, 2026 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 14, 2021 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Harbor Medical Associates, Inc. Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
General Hospital Corp Current Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 14, 2021 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

388 Commonwealth Ave
Boston, MA 02215
Phone (617) 267-7171

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: wells.brian.mgh@direct.partners.masshiway.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 8

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1679839559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 RIVERSIDE AVE APT 1201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044438",
            "telephone_number": "352-222-0999",
            "fax_number": "888-475-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hsc T16 20",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948160",
            "country_code": "US",
            "telephone_number": "631-444-8478",
            "fax_number": "631-444-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Hsc T16 20",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "11794",
            "country_code": "US",
            "telephone_number": "631-444-8478",
            "fax_number": "631-444-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 Middleville Rd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "NY",
            "postal_code": "117682200",
            "country_code": "US",
            "telephone_number": "352-222-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32209",
            "country_code": "US",
            "telephone_number": "352-222-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BRIAN",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "282158",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "282700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.