MEDICARE: CHILDREN'S ORTHOPAEDIC SURGERY FOUNDATION, INC.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician
2	207PS0010X	Sports Medicine (Emergency Medicine) Physician
3	207XX0801X	Orthopaedic Trauma Physician	45761	MA
4	363LP0200X	Pediatric Nurse Practitioner
5	207XS0106X	Orthopaedic Hand Surgery Physician
6	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
7	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
8	103TC0700X	Clinical Psychologist
9	207X00000X	Orthopaedic Surgery Physician
10	363LF0000X	Family Nurse Practitioner
11	363A00000X	Physician Assistant
12	207XS0117X	Orthopaedic Surgery of the Spine Physician	45761	MA
13	207XP3100X	Pediatric Orthopaedic Surgery Physician

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

NPI Number	:	1548344393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S ORTHOPAEDIC SURGERY FOUNDATION, INC.

Provider Business Mailing Address
First Line	:	300 LONGWOOD AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-5724
Country	:	US
Telephone Number	:	617-355-6021
Fax Number	:	617-730-0683

Provider Business Practice Location Address
First Line	:	300 LONGWOOD AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-5724
Country	:	US
Telephone Number	:	617-355-6021
Fax Number	:	617-730-0683

Authorized Official
Title or Position	:	CHIEF
Name	:	DR. MARTHA M MURRAY
Credential	:	M.D.
Telephone Number	:	617-355-6021

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	12/11/2025

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202