DR. JESSICA BREN BOSTON M.D.
NPI 1427129592
Physical Medicine & Rehabilitation - Pain Medicine in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

Active since November 12, 2006Opted out of Medicare · through Jul 17, 2027

2811 WILSHIRE BLVD, SUITE 850, SANTA MONICA, CA 90403(310) 828-7757(310) 594-5953 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jessica Bren Boston M.d. NPPES

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

DR. JESSICA BREN BOSTON M.D. (NPI 1427129592) is an individual pain medicine provider in Santa Monica, California, licensed in California (A79183) and active in the NPI registry since November 2006. She has opted out of Medicare through July 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427129592

Entity TypeIndividualFemale

Primary Taxonomy2081P2900X

Provider Legal NameDR. JESSICA BREN BOSTONCredential: M.D.

Location Address2811 WILSHIRE BLVD, SUITE 850Santa Monica, CA 90403-4803

Mailing Address2811 Wilshire Blvd, Suite 850Santa Monica, CA 90403-4803 · (310) 828-7757 · Fax (310) 594-5953

Phone(310) 828-7757

Fax(310) 594-5953

Sole ProprietorYes

Enumeration DateNovember 12, 2006

Last NPPES UpdateAugust 23, 2010

✔ NPI 1427129592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in CA · A79183

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

2811 WILSHIRE BLVD, Santa Monica, CA 90403

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Other Identifiers 2

Medicare ID-Type UnspecifiedWA79183ACA

Medicare UPINI35910

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jessica Bren Boston M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 17, 2015 through July 17, 2027.

Opt-Out Effective DateJuly 17, 2015

Opt-Out In Effect ThroughJuly 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.