Individual provider Active NPI

Brett James Welke, M.D.

  • Vascular & Interventional Radiology Physician
  • Bronx, NY
National Provider Identifier
1013143692
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
290345 Issued in NY
Practice address
2157 White Plains Rd
Bronx, NY 10462-1405
Phone
(347) 824-8065
Fax
(224) 235-4652
NPI assigned
Jun 9, 2009
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME129192 FL
Vascular & Interventional Radiology Physician 2085R0204X 290345 NY Primary

Addresses

Primary practice location

2157 White Plains Rd
Bronx, NY 10462-1405

Mailing address

2730 N McMullen Booth Rd
Suite 100
Clearwater, FL 33761-3302
Phone (337) 794-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161007000350 FL Practitioner - Interventional Radiology 4981992922 Reassigns benefits to 2 organizations
I20180420001455 NY Practitioner - Interventional Radiology 4981992922 Reassigns benefits to 3 organizations
I20260407004352 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4981992922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Tulane University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooklyn Hospital Radiology P CGroup PAC ID 5991694473, 18 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8240

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME129192FLMDDiagnostic Radiology Physician
290345NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Hospital Radiology P C Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
New York City Healthcare Medical Services LLC CurrentSince Jul 7, 2026 Accepting new patients
Gerald a Niedzwiecki MD PA Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
New York Professional Medical Services LLC CurrentSince Mar 1, 2018 Accepting new patients
Mott Haven Professional Medical of New York LLC CurrentSince Mar 28, 2018 Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Mar 1, 2018 Accepting new patients

Locations (25 of 30)

2655 State Road 580
Ste 202
Clearwater, FL 33761
Phone (727) 499-1041

2730 N McMullen Booth Rd
Ste 100
Clearwater, FL 33761
Phone (727) 791-7300

304 Wainwright Dr
Northbrook, IL 60062
Phone (224) 318-0118

4025 Hempstead Tpke
Ste A
Bethpage, NY 11714
Phone (646) 798-8502

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

2157 White Plains Rd
Bronx, NY 10462
Phone (347) 824-8065

2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845

2157 White Plains Rd
Ste B
Bronx, NY 10462

384 E 149th St
Ste 201A
Bronx, NY 10455
Phone (844) 723-7240

384 E 149th St
Ste 201B
Bronx, NY 10455
Phone (347) 897-5441

947 Southern Blvd
Ste A
Bronx, NY 10459
Phone (718) 513-5855

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

2444 86th St
Brooklyn, NY 11214
Phone (718) 709-5329

2444 86th St
#102A
Brooklyn, NY 11214
Phone (347) 230-8174

2511 Ocean Ave
Ste 102
Brooklyn, NY 11229
Phone (718) 504-6044

27 Graham Ave
Ste B
Brooklyn, NY 11206
Phone (646) 798-8506

441 Knickerbocker Ave
Ste A
Brooklyn, NY 11237
Phone (347) 537-2755

441 Knickerbocker Ave
Ste B
Brooklyn, NY 11237
Phone (347) 773-2684

924 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 709-5327

11602 Queens Blvd
Forest Hills, NY 11375
Phone (646) 292-3240

11602 Queens Blvd
Ste A
Forest Hills, NY 11375

16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699

16203 Jamaica Ave
Unit 200A
Jamaica, NY 11432
Phone (347) 390-1075

1153 1st Ave
New York, NY 10065
Phone (646) 386-2250

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bwelke19009@prd.direct.tbh.org
  • FHIR API: https://api.platform.athenahealth.com/21643/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1013143692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613302",
            "telephone_number": "337-794-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621405",
            "telephone_number": "347-824-8065",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKE",
        "first_name": "BRETT",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME129192",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "290345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.