BRIGHAM & WOMENS PHYSICIANS ORGANIZATION INC – Internal Medicine Physician, NPI 1033535497
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIGHAM & WOMENS PHYSICIANS ORGANIZATION INC
254 2ND AVE STE 100
NEEDHAM, MA 024942829
Phone: (781) 416-8400
Fax: (617) 582-1111
Type: Mailing
1153 Centre St
Jamaica Plain, MA 021303446
Phone: (617) 983-7000
Type: Location
62 13TH ST
CHARLESTOWN, MA 021292056
Phone:
Type: Mailing
75 FRANCIS ST
BOSTON, MA 021156110
Phone: (617) 732-5500
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: 2024-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20150107001260 | O | Clinic/Group Practice | MA | TBD |
| O20230606003048 | O | Clinic/Group Practice | NJ | TBD |
| O20231106001627 | O | Clinic/Group Practice | NH | TBD |
| O20240118001011 | O | Clinic/Group Practice | FL | TBD |
| O20240207000817 | O | Clinic/Group Practice | MI | TBD |
| O20240214002017 | O | Clinic/Group Practice | TX | TBD |
| O20240227000204 | O | Clinic/Group Practice | AR | TBD |
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.
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 02494)
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