Provider Demographics
NPI:1790717650
Name:BRIGHAM & WOMENS HOSPITAL, INC.
Entity Type:Organization
Organization Name:BRIGHAM & WOMENS HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-645-4909
Mailing Address - Street 1:399 REVOLUTION DRIVE
Mailing Address - Street 2:SUITE 535
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145
Mailing Address - Country:US
Mailing Address - Phone:857-282-0363
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007049OtherNHP IP/OP
MA2222011001OtherBCBS IP
MA900058OtherHPHC
MA0006807OtherNHP SPANISH CLINIC
MA2222011012OtherBCBS BROOKSIDE HEALTHCENT
MA0006763OtherNHPBROOKSIDE HEALTHCENTER
MA1002562Medicaid
MA2222011015OtherBCBS OP PSYCH
MA900054OtherTAHP OP
MA1201514Medicaid
MA2222011010OtherBCBS OP
MA2222011013OtherBCBS SJP HEALTHCENTER
MA2222011031OtherBCBS SDC
MA903115OtherTAHP IP
MA0002928OtherNHP BIMA
MA0006764OtherSJP HEALTHCENTER
MA1202693Medicaid
MA1202715Medicaid
MA903115OtherTAHP IP
MA2222011013OtherBCBS SJP HEALTHCENTER