Active NPI
Rebecca Tyler Brown, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Roslindale, MA
National Provider Identifier
1689701674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 235503
- Practice address
- 1200 Centre St
Department of Medicine
Roslindale, MA 02131-1011 - Phone
- (617) 363-8710
- Fax
- (617) 363-8929
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 235503 | MA | Primary |
| Internal Medicine Physician | 207R00000X | 235503 | MA |
Addresses
Primary practice location
1200 Centre St
Department of Medicine
Roslindale, MA 02131-1011
Mailing address
1200 Centre St
Department of Medicine
Roslindale, MA 02131-1011
Phone (617) 363-8710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231003000635 | CA | Order and Referring Only - Internal Medicine | 3476693433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98036 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1689701674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CENTRE ST",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311011",
"telephone_number": "617-363-8710",
"fax_number": "617-363-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CENTRE ST",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311011",
"telephone_number": "617-363-8710",
"fax_number": "617-363-8929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "REBECCA",
"middle_name": "TYLER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "235503",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "235503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.