Mgh
NPI 1063716579ActiveOrganization· Exclusive Provider Organization· Beverly, MA
Exclusive Provider Organization in Beverly, Massachusetts, registered in NPPES in December 2010, part of Mg17508. The authorized official on file is Lynne Brodsky, MD, Md.
Overview
| NPI | 1063716579 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mg17508 |
| NPI issued | Dec 28, 2010 |
| Last updated in NPPES | Dec 28, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 179866 | MA |
| Chronic Disease Hospital | 281P00000X | 179866 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|