Organization Active NPI

Brookline Medical Physicians, PC

  • Internal Medicine Physician
  • Brookline, MA
National Provider Identifier
1699865048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BROOKLINE MEDICAL PHYSICIANS, PC
Practice address
358 Harvard St
Brookline, MA 02446-2905
Phone
(617) 739-1111
Fax
(617) 566-6586
NPI assigned
Oct 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard A Brodie, MD
Title
President
Phone
(617) 739-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

358 Harvard St
Brookline, MA 02446-2905

Mailing address

358 Harvard St
Brookline, MA 02446-2905
Phone (617) 739-1111

National Provider Directory

National Provider Directory

Locations

358 Harvard St
Brookline, MA 02446
Phone (617) 739-1111

Practitioners & affiliated clinicians

Practitioners 2

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": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699865048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462905",
            "telephone_number": "617-739-1111",
            "fax_number": "617-566-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462905",
            "telephone_number": "617-739-1111",
            "fax_number": "617-566-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE MEDICAL PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRODIE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-739-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.