DR. BRIAN LEE M.D.
NPI 1659631604
Pediatrics - Pediatric Emergency Medicine in Philadelphia, PA

Active since May 24, 2012PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(302) 381-6801 Get Directions Write a Review

NPPES record last updated: November 20, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 20, 2022, Jul 21, 2022, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Brian Lee M.d. NPPES

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

DR. BRIAN LEE M.D. (NPI 1659631604) is an individual pediatric emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD477773) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1659631604
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. BRIAN LEECredential: M.D.
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address300 Alexander Ct Apt 2107Philadelphia, PA 19103-1176 · (302) 381-6801
Sole ProprietorYes
Enumeration DateMay 24, 2012
Last NPPES UpdateNovember 20, 20226 updates tracked since enumeration
NPPES CertifiedNovember 20, 2022
NPI 1659631604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in PA · MD477773
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD15352 (RI), LP02546 (RI)
Also ListedPediatricsTaxonomy 208000000X · License MD15352 (RI), 270311 (MA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-6118 · Fax (401) 444-8804

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brian Lee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

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 Brian Lee's NPI number?

The NPI number for Brian Lee is 1659631604. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Brian Lee located?

Brian Lee practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (302) 381-6801.

What is Brian Lee's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Brian Lee enrolled in Medicare?

Yes. Brian Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Lee was last updated on November 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.