Dr. Brennan P Dagle, MD
Family Medicine, Sports Medicine in Boston, Massachusetts
1255072559- Practice location
- 11 Melnea Cass Blvd, Boston, MA 02119-4401
- Phone
- 617-414-2080
- Fax
- —
- Last updated
- September 15, 2026
Brennan Patrick Dagle is a Family Medicine, Sports Medicine based in Boston, MA. Brennan Patrick Dagle practices in Boston, MA and has the professional credentials of MD. The NPI Number for Brennan Patrick Dagle is 1255072559 and holds a License No. 1028348 (MA). The current practice location address for Brennan Patrick Dagle is 11 Melnea Cass Blvd, Boston, MA 02119-4401 and can be reached out via phone at 617-414-2080.
Provider Profile Details
- NPI Number
- 1255072559
- Provider Name
- Brennan Patrick Dagle
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 Melnea Cass Blvd, Boston, MA 02119-4401
- Phone Number
- 617-414-2080
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2022
- Last Update Date
- September 15, 2026
- Certification Date
- September 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Melnea Cass Blvd
Boston, MA 02119-4401 - City
- Boston
- State
- Massachusetts
- Zip
- 02119-4401
- Phone Number
- 617-414-2080
Provider Business Mailing Address Details
- Address
- 960 Massachusetts Ave
Ste 2
Boston, MA 02118 - City
- Boston
- State
- MA
- Zip
- 02118
- Phone Number
- 617-414-2080
- Fax Number
- 617-414-2090
License Information
- License Number (1)
- 1028348
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine, Sports Medicine · 207QS0010X · Primary
- License Number (2)
- 1028348
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Brennan P Dagle, MD?
The NPI number of Dr. Brennan P Dagle, MD is 1255072559. It was assigned on April 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Brennan P Dagle, MD?
Dr. Brennan P Dagle, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in MA under license number 1028348.
Where does Dr. Brennan P Dagle, MD practice?
The practice location is 11 Melnea Cass Blvd, Boston, MA 02119-4401. The office can be reached at 617-414-2080 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255072559 directly on the NPPES registry website.