Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BRENT HEIMLICH PA-C
NPI 1235894015
Physician Assistant in Boston, MA

Active since November 05, 2021PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST., WHITE 1, BOSTON, MA 02114(617) 724-4100(617) 726-7415 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2026, Nov 23, 2021, Nov 5, 2021 (3 updates tracked since 2021).

About Brent Heimlich Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT HEIMLICH PA-C (NPI 1235894015) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nantucket, and is a graduate of Boston University School Of Medicine (2021).

NPPES Registry Identity

NPI1235894015
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENT HEIMLICHCredential: PA-C
Location Address55 FRUIT ST., WHITE 1Boston, MA 02114-2696
Mailing Address340 Franklin St Apt 3Cambridge, MA 02139-3746 · (917) 687-2451
Fax(617) 726-7415
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2021
Enumeration DateNovember 5, 2021
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1235894015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

55 FRUIT ST., Boston, MA 02114

Secondary Practice Location 1

Location 157 Prospect StreetNantucket, MA 02554-2799 · Phone (508) 825-8100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brent Heimlich Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638562689
PECOS Enrollment IDI20220215001709
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Oral & Maxillofacial Surgery
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Psychiatry & Neurology (Neurology)
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
55 FRUIT ST., YAWHAY OUTPATIENT CENTER -5B
BOSTON, MA 02114
Neurological Surgery
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Psychologist (Clinical)
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Heimlich's NPI number?

The NPI number for Brent Heimlich is 1235894015. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Where is Brent Heimlich located?

Brent Heimlich practices at 55 Fruit St. White 1, Boston, MA 02114. The listed phone number is (617) 724-4100.

What is Brent Heimlich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brent Heimlich enrolled in Medicare?

Yes. Brent Heimlich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brent Heimlich was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.