Individual provider Active NPI

Wendy G Bamman

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1043465891
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
003908 Issued in NY
Practice address
2900 Bedford Ave
Brooklyn, NY 11210-2850
Phone
(718) 951-5869
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 003908 NY Primary

Addresses

Primary practice location

2900 Bedford Ave
Brooklyn, NY 11210-2850

Mailing address

200 E 90TH St Apt 11E
New York, NY 10128-3531
Phone (212) 348-2557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: wendy.bamman.1@14367.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1043465891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 90TH ST APT 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283531",
            "telephone_number": "212-348-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102850",
            "telephone_number": "718-951-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMMAN",
        "first_name": "WENDY",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "003908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.