Individual provider Active NPI

Bradley J. Phillips, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1104800143
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
184083-1 Issued in NY
Practice address
450 Clarkson Ave
Suite J
Brooklyn, NY 11203-2056
Phone
(718) 270-1714
Fax
(718) 270-3233
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 184083-1 NY Primary
Ophthalmology Physician 207W00000X 25MA06584600 NJ

Addresses

Primary practice location

450 Clarkson Ave
Suite J
Brooklyn, NY 11203-2056

Mailing address

450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2056
Phone (718) 270-8867

Other identifiers 2

IdentifierTypeStateIssuer
01278495MedicaidNY
7384009MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, 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
I20080724000012 NJ Practitioner - Ophthalmology 1254383433 Reassigns benefits to 1 organization
I20090714000004 NY Practitioner - Ophthalmology 1254383433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Stony Brook, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John D Babb MD PCGroup PAC ID 1557251972, 3 clinicians
Karen Allison, M.D., P.C.Group PAC ID 5193818557, 2 clinicians

Practice addresses (Care Compare)

185 Montague St
FL 12
Brooklyn, NY 11201-3600
Phone (718) 783-1616

24836 Jericho Tpke
Floral Park, NY 11001-4002
Phone (718) 525-2200

41 Arthur St
East Brunswick, NJ 08816-3712
Phone (732) 828-5900

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1714

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as apm
Quality
79.86
Promoting interoperability
88.89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
98.08
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06584600NJMDOphthalmology Physician
184083-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. CurrentSince Jan 1, 2003 Accepting new patients
Bradley J Phillips MD LLC Ophthalmology CurrentSince Feb 1, 2008 Accepting new patients
Karen Allison, M.D., P.C. Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
University Physicians of Brooklyn, Inc. Ophthalmology CurrentSince Jan 1, 2003 Accepting new patients
Phillips Eye Consultants Ophthalmology PastSince Feb 11, 1998 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

41 Arthur St
East Brunswick, NJ 08816
Phone (718) 948-8880

1543 State Route 27
Ste 23
Somerset, NJ 08873
Phone (732) 249-6101

450 Clarkson Ave
#58
Brooklyn, NY 11203
Phone (718) 270-1714

450 Clarkson Ave
#1262
Brooklyn, NY 11203
Phone (718) 270-7379

1520 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 270-1714

450 Clarkson Ave
Ste J
Brooklyn, NY 11203
Phone (718) 270-1714

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

24836 Jericho Tpke
Floral Park, NY 11001
Phone (516) 352-7111

162 W 56th St
Ste 206
New York, NY 10019
Phone (212) 459-0001

20516 Linden Blvd
Saint Albans, NY 11412
Phone (718) 525-2200

Networks

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

Interoperability endpoints

  • Direct secure messaging: bradley.phillips@sunydmc.direct.eyemdemr.com
  • Direct secure messaging: bradleyphillips@sunydmc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBABBA/Endpoint/DBABBA
  • Direct secure messaging: bphillips@uoc.direct.eyemdemr.com

Organizations & group practices 7

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1104800143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1262",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-8867",
            "fax_number": "718-270-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "SUITE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-1714",
            "fax_number": "718-270-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRADLEY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "184083-1",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06584600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01278495",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7384009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.