Individual provider Active NPI

Brian W Boyle, MD

  • Psychiatry Physician
  • Brookline, MA
National Provider Identifier
1871974584
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
274489 Issued in MA
Practice address
1180 Beacon St Ste 6a
Brookline, MA 02446-3806
Phone
(617) 804-0260
Fax
(317) 342-5129
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 274489 MA Primary

Addresses

Primary practice location

1180 Beacon St Ste 6a
Brookline, MA 02446-3806

Mailing address

1180 Beacon St Ste 6a
Brookline, MA 02446-3806
Phone (617) 804-0260

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716002485 MA Practitioner - Psychiatry 3173839719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Harvard Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Measured Wellness LLCGroup PAC ID 4082029533, 5 clinicians

Practice addresses (Care Compare)

1180 Beacon St
Suite 6a
Brookline, MA 02446-3806
Phone (617) 804-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Boris Balson, PC CurrentSince Oct 1, 2020 Accepting new patients
Measured Wellness LLC Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
The McLean Hospital Corporation Psychiatry CurrentSince Jul 1, 2019 Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

1180 Beacon St
Ste 6A
Brookline, MA 02446
Phone (617) 804-0260

313 Washington St
Ste 310
Newton, MA 02458

Organizations & group practices 3

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1871974584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 6A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-804-0260",
            "fax_number": "317-342-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 6A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-804-0260",
            "fax_number": "317-342-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "BRIAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "274489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.