Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian W Jack, MD

Individual provider Family Medicine Physician · NPI 1053385120

Brian W Jack, MD is a Family Medicine Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

850 Harrison Ave Yacc 4
Boston, MA 02118-4001
Phone: (617) 414-2080
Fax: (617) 414-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 154199 (MA)

Record details

NPI number1053385120
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJune 30, 2014

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