DR. BRIAN T KROENER (MD, MPH) – Family Medicine Physician, NPI 1205220126

DR. BRIAN T KROENER (MD, MPH) is a healthcare provider. based in Boston, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD, MPH. They hold a License No. 281070 (MA). The NPI Number for DR. BRIAN T KROENER (MD, MPH) is 1205220126

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN T KROENER (MD, MPH)
NPI
1205220126
Phone
(617) 414-4465
Address
1 DOWLING MEDICAL CENTER PLACE
Enumeration Date
28 March 2015
Last Update Date
17 May 2022

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6173234440
Graduation Year
2015 (11 years ago)
PAC ID
0840503850
Group Practice PAC ID
0547222051
Professional Enrollment ID
I20191030002935
Address ID
MA021311733RO4199XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,900 FAMILY PRACTICE in MA

Provider Addresses for DR. BRIAN T KROENER (MD, MPH)

  • 1 DOWLING MEDICAL CENTER PLACE

    DOWLING 5

    BOSTON, MA 021192908

    Phone: (617) 414-4465

    Type: Location

  • 801 ALBANY ST FL GROUND

    BOSTON, MA 02119

    Phone:

    Type: Mailing

  • 1 Dowling Medical Center Place

    Dowling 5

    Boston, MA 021192908

    Phone: (617) 414-4465

    Fax: (617) 414-3345

    Type: Location

  • MANET COMMUNITY HEALTH CENTER

    110 WEST SQUANTUM STREET

    NORTH QUINCY, MA 021712122

    Phone: (617) 376-3000

    Type: Location

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: 2019-10-30

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
I20191030002935IFamily PracticeMATBD

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 02119)

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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: 0547222051View full group profile
NameSpecialtyState
Family PracticeMA
-MA
Sports Medicine, Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YCA
Clinical Social WorkerMA
-MA
Family PracticeMA
Family PracticeMA
Family PracticeMA
Internal MedicineMA

Reviews

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Frequently asked questions

Where can patients find DR. BRIAN T KROENER (MD, MPH)'s NPI?
You can confirm DR. BRIAN T KROENER (MD, MPH) with NPI 1205220126; it appears in the national provider directory.
Is DR. BRIAN T KROENER (MD, MPH) currently active in the NPI registry?
CMS-published data lists DR. BRIAN T KROENER (MD, MPH) as an active registrant.
What field does DR. BRIAN T KROENER (MD, MPH) work in?
You can think of DR. BRIAN T KROENER (MD, MPH) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. BRIAN T KROENER (MD, MPH)?
We surface Boston, Massachusetts for DR. BRIAN T KROENER (MD, MPH) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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