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NPI Code Detail

MEDICARE: BRIAN J. COFFEY MD

MEDICARE: BRIAN J. COFFEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084A2900XNeurocritical Care Physician292229MA
22084N0400XNeurology Physician292229MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336645332
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN J. COFFEY MD
Provider Business Mailing Address
First Line : 960 MASSACHUSETTS AVENUE
Second Line : FL 2
City : BOSTON
State : MA
Zip : 02118-2690
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 725 ALBANY STREET, SUITE 7B
Second Line : SHAPIRO BLDG.
City : BOSTON
State : MA
Zip : 02118-2905
Country : US
Telephone Number : 617-414-8456
Fax Number : 617-414-8465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2018
Last Update Date : 01/16/2026

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Directions to “ BRIAN J. COFFEY MD” Practice Location

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