Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRENNAN PATRICK DAGLE MD
NPI 1255072559
Family Medicine - Sports Medicine in Boston, MA

Q: What is Brennan Dagle's NPI number?

The NPI number for Brennan Dagle is 1255072559. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Brennan Dagle's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Brennan Dagle was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2022PECOS Enrolled

11 MELNEA CASS BLVD, BOSTON, MA 02119(617) 414-2080 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Aug 26, 2026, Oct 7, 2025 (3 updates tracked since 2025).

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About Dr. Brennan Patrick Dagle Md NPPES

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

DR. BRENNAN PATRICK DAGLE MD (NPI 1255072559) is an individual sports medicine provider in Boston, Massachusetts, licensed in Massachusetts (1028348) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2022).

NPPES Registry Identity

NPI1255072559

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. BRENNAN PATRICK DAGLECredential: MD

Location Address11 MELNEA CASS BLVDBoston, MA 02119-4401

Mailing Address960 Massachusetts Ave, Ste 2Boston, MA 02118 · (617) 414-2080 · Fax (617) 414-2090

Phone(617) 414-2080

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2022

Enumeration DateApril 2, 2022

Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1255072559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MA · 1028348

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 1028348 (MA)

11 MELNEA CASS BLVD, Boston, MA 02119

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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

Dr. Brennan Patrick Dagle Md 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 ID5890171839

PECOS Enrollment IDI20251022000485

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

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.

KATHERINE A GERGEN BARNETT MD

Family Medicine