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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477294536

Kimberly Elizabeth Brummell, MD is a Psychiatry in Boston, Massachusetts. Qualified in 2022, 4 years ago. Licensed in Massachusetts and North Carolina.

Years since qualifying
4
Licensed in
MA, NC
In the registry since
2022
Specialties on file
2
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

330 Brookline Ave # RABB-2
Boston, MA 02215-5400
Phone: (617) 667-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2025-04223 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 293484 (MA)

Record details

NPI number1477294536
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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