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

Edward Kierkla

Individual provider Physician Assistant · NPI 1336882919

Edward Kierkla is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Mass General Brigham Medical Group Suburban Massachusetts Inc, a 532-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

450 Brookline Ave
Boston, MA 02215-5450
Phone: (617) 632-3352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2014 Washington St, Newton, MA 02462-1699 — (617) 243-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8804 (MA)

Record details

NPI number1336882919
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address450 Brookline Ave, Boston, MA 02215-5450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mass General Brigham Medical Group Suburban Massachusetts Inc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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