Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1265094122
Mass General Brigham Community Physicians Inc.
Organization Subpart: NO
Active
NPI Number1265094122
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1265094122
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-07-01
Last Updated2026-04-24
Authorized OfficialLynn Stofer
President & COO
Phone: 6177639047
Mailing Address399 Revolution Dr Ste 1010
Somerville, MA 02145-1582
United States
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Primary Practice Address53 State St Ste 106
Boston, MA 02109-2820
United States
Phone: (617) 903-5000
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207R00000X – Internal Medicine--
Yes207Q00000X – Family Medicine--
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About NPI 1265094122

Mass General Brigham Community Physicians Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1265094122. The primary specialty listed is Family Medicine. The organization is located in Boston, MA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-07-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1265094122?

NPI 1265094122 belongs to Mass General Brigham Community Physicians Inc., a Family Medicine in Boston, MA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1265094122 active?

The current status of NPI 1265094122 in the NPPES registry is Active. The record was last updated on 2026-04-24.

What specialty is NPI 1265094122?

NPI 1265094122 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1265094122?

You can verify NPI 1265094122 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1265094122?

The primary practice address on file for NPI 1265094122 is 53 State St Ste 106, Boston, MA 02109-2820. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1265094122 issued?

NPI 1265094122 was first issued (enumerated) on 2019-07-01. The NPPES record was last updated on 2026-04-24.

Practice Location Map

Mass General Brigham Community Physicians Inc. is located at 53 State St Ste 106, Boston, MA. Use the map below to find directions or verify the practice location.

📍 53 State St Ste 106, Boston, MA 02109-2820  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mass General Brigham Community Physicians Inc.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162