Active NPI
Brigham and Women'S Physicians Organization Inc
- Physician Assistant
- Boston, MA
National Provider Identifier
1932020476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION INC
- Practice address
- 1153 Centre St
Boston, MA 02130-3446 - Phone
- (617) 983-7000
- NPI assigned
- Jul 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darani Ashley Thammavongsa, PA
- Title
- Physician Assistant
- Phone
- (860) 371-9906
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1153 Centre St
Boston, MA 02130-3446
Mailing address
62 13TH St
Charlestown, MA 02129-2056
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1932020476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 13TH ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021292056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "THAMMAVONGSA",
"authorized_official_first_name": "DARANI",
"authorized_official_middle_name": "ASHLEY",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "860-371-9906",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
- Brigham and Women'S Hospital
- Brigham and Women'S Hospital
- Brigham and Women'S Hospital
- Brigham and Women'S Hospital, Inc.
- Brigham and Women'S Physicians Organization
- Brigham and Womens
- Brigham and Womens Hospital
- Brigham and Womens Hospital
- Brigham and Womens Hospital
- Brigham and Womens Physicians Organization Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.