Active NPI
Kira Grant Edwards, D.O.
- Pediatrics Physician
- Falmouth, MA
National Provider Identifier
1740470970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 232244
- Practice address
- 15 Bramblebush Park
Falmouth, MA 02540-2325 - Phone
- (508) 548-6969
- Fax
- (508) 540-2793
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 practice location 1
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232244 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bramblebush Pediatrics LLP | Pediatrics | Past | Accepting new patients |
| Bramblebush Pediatrics LLP | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- kedwards34457@direct.chppoc.masshiway.net
Organizations & group practices 2
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": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1740470970",
"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": [
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "617-355-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "KIRA",
"middle_name": "GRANT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "232244",
"primary": true
}
],
"identifiers": [],
"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 May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.