MEDICARE: DR. BRIAN P. MURPHY M.D.

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
1	2085R0202X	Diagnostic Radiology Physician	72093	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	300042580	OTHER	MA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61952	OTHER	MA	FALLON
2	123003	OTHER	MA	AETNA/USHC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	995357	OTHER	MA	NETWORK HEALTH
6	0162190	OTHER	MA	CIGNA
7	1581325	OTHER	MA	FIRST HEALTH & CCN
8	240007	OTHER	MA	HARVARD PILGRIM HEALTHCAR
9	36714	OTHER	MA	HEALTHY START
10	072093	OTHER	MA	TUFTS HEALTH PLAN
12	01Y002004MA01	OTHER	NH	NH BLUE SHIELD
13	J11092	OTHER	MA	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1699761072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN P. MURPHY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 615
Second Line	:	L&M RADIOLOGY, INC.
City	:	ACTON
State	:	MA
Zip	:	01720-0615
Country	:	US
Telephone Number	:	978-266-2676
Fax Number	:	978-266-2680

Provider Business Practice Location Address
First Line	:	1 GENERAL ST
Second Line	:	LAWRENCE GENERAL HOSPITAL
City	:	LAWRENCE
State	:	MA
Zip	:	01841-2961
Country	:	US
Telephone Number	:	978-946-8103
Fax Number	:	978-946-8067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	07/08/2008

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