Individual provider Active NPI

Kevin Paul Brazill, D.O.

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1003132788
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
297824 Issued in NY
Practice address
2613 W Henrietta Rd
Rochester, NY 14623-2327
Phone
(585) 279-4999
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 297824 NY
Family Medicine Physician 207Q00000X 297824 NY Primary

Addresses

Primary practice location

2613 W Henrietta Rd
Rochester, NY 14623-2327

Mailing address

2613 W Henrietta Rd
Rochester, NY 14623-2327
Phone (585) 279-4999

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbrazill186948@direct.urmc.rochester.edu Direct
Direct Messaging Address kbrazill186948@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150909002597 IL Practitioner - Family Practice 3072751536 Reassigns benefits to 4 organizations
I20190813001761 NY Practitioner - PsychiatryPractitioner - Family Practice 3072751536 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoopeston Community Memorial HospitalGroup PAC ID 3577456037, 142 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

2512 Hurst Dr
Mattoon, IL 61938-9200
Phone (217) 258-5900

2613 W Henrietta Rd
Rochester, NY 14623-2327
Phone (585) 279-4900

2617 W Henrietta Rd
Rochester, NY 14623-2327
Phone (585) 276-7620

300 Crittenden Blvd
Rochester, NY 14642-0001
Phone (585) 275-3569

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-7424

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

980 Raccoon Run
Victor, NY 14564-9148
Phone (217) 902-5291

Hospital & facility affiliations

  • Ur Medicine Home Care, Certified Services, Inc Home health agency, Webster, NY, CCN 337010
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
297824NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva General Hospital CurrentSince Jul 1, 2021 Accepting new patients
University of Rochester Psychiatry CurrentSince Oct 1, 2019 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
University of Rochester Department of Psychiatry Clinical Group Psychiatry CurrentSince Oct 1, 2019 Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince Jan 27, 2021 Accepting new patients
Geneva General Hospital, Inc Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
University of Rochester CurrentSince Oct 1, 2019 Accepting new patients
Hoopeston Community Memorial Hospital Family Medicine Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Feb 23, 2021 Accepting new patients
University of Rochester Urgent Care CurrentSince Feb 1, 2020 Accepting new patients
University of Rochester Current Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Soldiers & Sailors Memorial Hospital Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

2512 Hurst Dr
Mattoon, IL 61938
Phone (217) 258-5900

200 Lerna Rd S
Mattoon, IL 61938
Phone (217) 258-3640

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

196 North St
Geneva, NY 14456
Phone (315) 787-4156

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

2613 W Henrietta Rd
Ste B
Rochester, NY 14623
Phone (585) 279-4999

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2613 W Henrietta Rd
Rochester, NY 14623
Phone (585) 279-4900

300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569

Interoperability endpoints

  • Direct secure messaging: kevinbrazill@flhealth.medalliesdirect.net

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1003132788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 W HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232327",
            "telephone_number": "585-279-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 W HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232327",
            "telephone_number": "585-279-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZILL",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2023-07-03",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "297824",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "297824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrazill186948@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrazill186948@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.