Active NPI
Colleen A. Brownell-Krupat, M.D.
- Pediatrics Physician
- Weston, MA
National Provider Identifier
1841201993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 231898
- Practice address
- 486 Boston Post Road
Weston, MA 02493-1529 - Phone
- (781) 899-4456
- Fax
- (781) 647-9578
- NPI assigned
- Aug 11, 2006
- Last updated
- Jan 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A86520 | CA | |
| Pediatrics Physician | 208000000X | 231898 | MA | Primary |
Addresses
Primary practice location
486 Boston Post Road
Weston, MA 02493-1529
Mailing address
486 Boston Post Road
Weston, MA 02493-1529
Phone (781) 899-4456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A865200 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86520 | CA | MD | Pediatrics Physician |
| 231898 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weston Pediatric Physicians, P.C. | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Past | Accepting new patients |
Locations
490 Boston Post Rd
#C
Sudbury, MA 01776
486 Boston Post Rd
Weston, MA 02493
Phone (781) 899-4456
Interoperability endpoints
- brownell-krupat.colleen.wpp@direct.partners.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Weston, MA
- NPI 1134284417
-
dba Boutique
- Durable Medical Equipment & Medical Supplies
- Boston, MA
- NPI 1225079940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1841201993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "486 BOSTON POST ROAD",
"city": "WESTON",
"state": "MA",
"postal_code": "024931529",
"telephone_number": "781-899-4456",
"fax_number": "781-647-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "486 BOSTON POST ROAD",
"city": "WESTON",
"state": "MA",
"postal_code": "024931529",
"telephone_number": "781-899-4456",
"fax_number": "781-647-9578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNELL-KRUPAT",
"first_name": "COLLEEN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A86520",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "231898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A865200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.