Individual provider Active NPI

Brook Belay, MD MPH

  • Pediatrics Physician
  • Alpharetta, GA
National Provider Identifier
1053309138
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
061205 Issued in GA
Practice address
3795 Mansell Rd
Alpharetta, GA 30022-8247
Phone
(404) 785-8540
Fax
(404) 785-8574
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 061205 GA Primary

Addresses

Primary practice location

3795 Mansell Rd
Alpharetta, GA 30022-8247

Mailing address

3795 Mansell Rd
Alpharetta, GA 30022-8247
Phone (404) 785-8540

Other identifiers 1

IdentifierTypeStateIssuer
1013251200001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260226002990 GA Practitioner - Pediatric Medicine 3971534991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Columbia University College of Physicians and Surgeons, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5582 Memorial Dr
Stone Mountain, GA 30083-3215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061205GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcura Health, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Medcura Health, Inc. CurrentSince Jan 26, 2026 Accepting new patients

Locations

5424 Hillandale Park Ct
#A
Lithonia, GA 30058
Phone (404) 296-7133

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 513-9965

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1053309138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 MANSELL RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228247",
            "telephone_number": "404-785-8540",
            "fax_number": "404-785-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 MANSELL RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228247",
            "telephone_number": "404-785-8540",
            "fax_number": "404-785-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAY",
        "first_name": "BROOK",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "061205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013251200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.