Individual provider Active NPI

Christine R Bryke, MD

  • Clinical Cytogenetics Physician
  • Boston, MA
National Provider Identifier
1932109527
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X
License
0101251188 Issued in VA
Practice address
330 Brookline Ave
Beth Israel Deaconess Medical Center
Boston, MA 02215-5400
Phone
(617) 667-3648
Fax
(617) 975-5712
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cytogenetics Physician 207SC0300X 177523-1 NY
Clinical Cytogenetics Physician 207SC0300X 33237-20 WI
Clinical Cytogenetics Physician 207SC0300X 258736 MA
Clinical Genetics (M.D.) Physician 207SG0201X 177523-1 NY
Clinical Genetics (M.D.) Physician 207SG0201X 0101251188 VA
Clinical Genetics (M.D.) Physician 207SG0201X 33237-20 WI
Clinical Genetics (M.D.) Physician 207SG0201X 258736 MA
Clinical Cytogenetics Physician 207SC0300X 0101251188 VA Primary

Addresses

Primary practice location

330 Brookline Ave
Beth Israel Deaconess Medical Center
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
Beth Israel Deaconess Medical Center
Boston, MA 02215-5400
Phone (617) 667-3648

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

LicenseStateTypeSpecialty
258736MAMDClinical Cytogenetics Physician
177523-1NYMDClinical Cytogenetics Physician
33237-20WIMDClinical Cytogenetics Physician
0101251188VAMDClinical Genetics (M.D.) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1932109527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-3648",
            "fax_number": "617-975-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-3648",
            "fax_number": "617-975-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYKE",
        "first_name": "CHRISTINE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "NY",
            "license": "177523-1",
            "primary": false
        },
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "WI",
            "license": "33237-20",
            "primary": false
        },
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "MA",
            "license": "258736",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NY",
            "license": "177523-1",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "VA",
            "license": "0101251188",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "WI",
            "license": "33237-20",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MA",
            "license": "258736",
            "primary": false
        },
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "VA",
            "license": "0101251188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.