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Contact Information

MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC
81 HIGHLAND AVE
SALEM, MA01970-2714
 Phone: 978-354-4173
 Fax: 978-354-3963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Disorder Diagnostic

261QS1200X
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC

NPI Number 1588606123
LBN Legal business name MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC
Authorized official LINDSAY GAINER - (PRESIDENT & COO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2006
Last updated 06/02/2025 - More than a year ago
Identifiers
MA Medicaid 110000069A
MA Other M15641 BLUE CROSS GROUP NUMBER
MA Other DD1487 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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