DR. KATHRYN SUSAN BRIGHAM (M.D.) – Pediatric Adolescent Medicine Physician, NPI 1043277924

DR. KATHRYN SUSAN BRIGHAM (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in Pediatric Adolescent Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 229958 (MA). The NPI Number for DR. KATHRYN SUSAN BRIGHAM (M.D.) is 1043277924

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN SUSAN BRIGHAM (M.D.)
NPI
1043277924
Phone
(617) 643-1201
Address
55 FRUIT ST
Enumeration Date
26 April 2006
Last Update Date
10 August 2018

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
9788826100
Graduation Year
2004 (22 years ago)
PAC ID
3779681960
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20070612000499
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KATHRYN SUSAN BRIGHAM (M.D.)

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    BOSTON, MA 021142696

    Phone: (617) 643-1201

    Fax: (617) 724-0581

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070612000499IPediatric MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

How do payers reference DR. KATHRYN SUSAN BRIGHAM (M.D.)?
For DR. KATHRYN SUSAN BRIGHAM (M.D.), use NPI 1043277924 as the unique 10-digit identifier.
Is DR. KATHRYN SUSAN BRIGHAM (M.D.) shown as active in public data?
Registry records indicate DR. KATHRYN SUSAN BRIGHAM (M.D.) maintains an active NPI.
What expertise is attributed to DR. KATHRYN SUSAN BRIGHAM (M.D.)?
DR. KATHRYN SUSAN BRIGHAM (M.D.)'s specialty line reads Pediatric Adolescent Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. KATHRYN SUSAN BRIGHAM (M.D.) registered?
Use Boston, Massachusetts as the headline location for DR. KATHRYN SUSAN BRIGHAM (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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