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

Individual provider Family Medicine Physician · NPI 1912970633

Ethan S Brackett, MD is a Family Practice in Boston, Massachusetts. Qualified in 1994, 32 years ago. Practices with Fenway Community Health Center, Inc, a 81-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
32
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

1340 Boylston St
Boston, MA 02215-4302
Phone: (617) 247-7555
Fax: (617) 421-9871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 142 Berkeley St, Boston, MA 02116-5100 — (617) 247-7555

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 209141 (MA)

Record details

NPI number1912970633
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address1340 Boylston St, Boston, MA 02215-4302

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Fenway Community Health Center, Inc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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