Active NPI
Brian Max Berger, M.D.
- Reproductive Endocrinology Physician
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 157527
- Practice address
- 2300 Crown Colony Dr
Boston Ivf- the South Shore Center
Quincy, MA 02169-0902 - Phone
- (617) 793-1100
- Fax
- (617) 793-1175
- NPI assigned
- Jun 1, 2006
- Last updated
- Oct 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 157527 | MA | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | MD10797 | RI | |
| Gynecology Physician | 207VG0400X | 157527 | MA | |
| Gynecology Physician | 207VG0400X | MD10797 | RI |
Addresses
Primary practice location
2300 Crown Colony Dr
Boston Ivf- the South Shore Center
Quincy, MA 02169-0902
Mailing address
2300 Crown Colony Dr
Boston Ivf- the South Shore Center
Quincy, MA 02169-0902
Phone (617) 793-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10797 | RI | MD | Reproductive Endocrinology Physician |
| 157527 | MA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Boston Ivf, Inc. | Reproductive Endocrinology | Past | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OB/GYN - HMFP at BIDMC
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1518908136
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Reproductive Endocrinology Physician
- Waltham, MA
- NPI 1326122839
-
dba Dermatology - HMFP at BIDMC
- Dermatology Physician
- Boston, MA
- NPI 1043250616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1811934557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 CROWN COLONY DR",
"address_2": "BOSTON IVF- THE SOUTH SHORE CENTER",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690902",
"telephone_number": "617-793-1100",
"fax_number": "617-793-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CROWN COLONY DR",
"address_2": "BOSTON IVF- THE SOUTH SHORE CENTER",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690902",
"telephone_number": "617-793-1100",
"fax_number": "617-793-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "BRIAN",
"middle_name": "MAX",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MA",
"license": "157527",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "RI",
"license": "MD10797",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MA",
"license": "157527",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "RI",
"license": "MD10797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.