# BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Dept of OB/Gyn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306864830
- **Authorized official:** MR. WILLIAM C JOHNSTON (CFO)
- **Authorized official phone:** (617) 713-2263

## Contact information

- **Practice address:** 75 FRANCIS ST, BOSTON, MA 02115-6110
- **Practice address phone:** (617) 732-5500
- **Mailing address:** 111 CYPRESS ST, BROOKLINE, MA 02445-6002
- **Mailing address phone:** (617) 582-1200
- **Mailing address fax:** (617) 713-2283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VE0102X | Reproductive Endocrinology Physician | — | NULL | — |
| 207VE0102X | Reproductive Endocrinology Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 04/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9700218 | — | MA |
| 01 | — | M17348 | BCBS OBGYN GRP \# | MA |