Provider Demographics
NPI:1699761072
Name:MURPHY, BRIAN P (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:P
Last Name:MURPHY
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:PO BOX 615
Mailing Address - Street 2:L&M RADIOLOGY, INC.
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-0615
Mailing Address - Country:US
Mailing Address - Phone:978-266-2676
Mailing Address - Fax:978-266-2680
Practice Address - Street 1:1 GENERAL ST
Practice Address - Street 2:LAWRENCE GENERAL HOSPITAL
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-2961
Practice Address - Country:US
Practice Address - Phone:978-946-8103
Practice Address - Fax:978-946-8067
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA720932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA61952OtherFALLON
MA123003OtherAETNA/USHC
MA3077128Medicaid
NH30202236OtherNH MEDICAID
MA995357OtherNETWORK HEALTH
MA0162190OtherCIGNA
MA1581325OtherFIRST HEALTH & CCN
MA240007OtherHARVARD PILGRIM HEALTHCAR
MA36714OtherHEALTHY START
MA072093OtherTUFTS HEALTH PLAN
MA300042580OtherRAILROAD MEDICARE
NH01Y002004MA01OtherNH BLUE SHIELD
MAJ11092OtherBLUE CROSS/BLUE SHIELD
MA3077128Medicaid
NH01Y002004MA01OtherNH BLUE SHIELD