NPIMap

Individual provider Active NPI

Brent Richard Weil, M.D.

  • Pediatric Surgery Physician
  • Boston, MA
National Provider Identifier
1972760593
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
261895 Issued in MA
Practice address
300 Longwood Ave
Department of Surgery, Fegan 3
Boston, MA 02115-5724
Phone
(617) 571-9904
NPI assigned
May 21, 2008
Last updated
May 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 11013468A IN
Pediatric Surgery Physician 2086S0120X 261895 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Department of Surgery, Fegan 3
Boston, MA 02115-5724

Mailing address

304 Tappan St
Brookline, MA 02445-5373
Phone (617) 571-9904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617000757 MA Practitioner - General Surgery 6800107871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHMC Surgical Foundation IncGroup PAC ID 7012016488, 28 clinicians

Practice addresses (Care Compare)

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013468AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University General Surgical Associates, Inc. Surgery CurrentSince Dec 1, 2021 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Boston University General Surgical Associates, Inc.-QMC CurrentSince Dec 1, 2021 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2015 Accepting new patients
CHMC Surgical Foundation Inc Pediatric Surgery CurrentSince Jul 1, 2015 Accepting new patients
Children's Hospital Corporation Past Accepting new patients
Childrens Hospital Boston Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

300 Longwood Ave
#3
Boston, MA 02115
Phone (617) 355-7737

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

725 Albany St
Ste 3B
Boston, MA 02118
Phone (617) 638-8485

732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840

20 Prospect St
Ste 2
Milford, MA 01757

Interoperability endpoints

  • Direct secure messaging: bweil22620@direct.bostonchildrens.org
  • Direct secure messaging: bweil90220@direct.bmc.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bellevue Post AcuteBellevue, WA, CCN 505500 Skilled nursing facility Managing Control - Governing Body Jun 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1972760593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TAPPAN ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455373",
            "telephone_number": "617-571-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "DEPARTMENT OF SURGERY, FEGAN 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-571-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "BRENT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "11013468A",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MA",
            "license": "261895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.