Healthcare Provider Details

I. General information

NPI: 1518096791
Provider Name (Legal Business Name): BRIAN T MORRIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/12/2021
Certification Date: 07/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 SOLDIERS FIELD RD
BRIGHTON MA
02135-1000
US

IV. Provider business mailing address

63 HOWE ST
HINGHAM MA
02043-1338
US

V. Phone/Fax

Practice location:
  • Phone: 866-510-3002
  • Fax: 617-663-6677
Mailing address:
  • Phone: 617-357-4140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number55077
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: