Brian Michael Baccari, PA-C
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1124338546
StatusActive
Last updated in NPPESOct 19, 2010
Details
- NPI
- 1124338546
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Michael Baccari
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2010
- Last updated
- Oct 19, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA4070 | MA | Yes |
Practice location
55 Fruit St.Boston, MA 02114
Phone 617-726-2000
Mailing address
55 Fruit St.Boston, MA 02114
Phone 617-726-2000
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