Provider Demographics
NPI:1407070964
Name:FREEMAN, BRIAN J (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 SEWALL AVE
Mailing Address - Street 2:APARTMENT 2-F
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5315
Mailing Address - Country:US
Mailing Address - Phone:781-622-5334
Mailing Address - Fax:
Practice Address - Street 1:890 WINTER ST
Practice Address - Street 2:STE.320
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1470
Practice Address - Country:US
Practice Address - Phone:781-622-5334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2205422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology