Individual provider Active NPI

Brenda R Schlaen, MD

  • Family Medicine Physician
  • Binghamton, NY
National Provider Identifier
1104807247
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237212 Issued in NY
Practice address
1290 Upper Front St
United Medical Associates PC
Binghamton, NY 13901
Phone
(607) 722-3417
Fax
(607) 722-7610
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237212 NY Primary

Addresses

Primary practice location

1290 Upper Front St
United Medical Associates PC
Binghamton, NY 13901

Mailing address

346 Grand Avenue
United Medical Associates PC
Johnson City, NY 13790
Phone (607) 729-8156

Other identifiers 1

IdentifierTypeStateIssuer
02727640MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051005000692 NY Practitioner - Family Practice 7911932264 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237212NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates, P.C. CurrentSince Nov 6, 2016 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Dec 18, 2011 Accepting new patients
United Medical Associates PC CurrentSince Nov 6, 2016 Accepting new patients

Locations

1290 Upper Front St
Binghamton, NY 13901
Phone (607) 722-3417

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156

Organizations & group practices 3

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1104807247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVENUE",
            "address_2": "UNITED MEDICAL ASSOCIATES PC",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "607-729-8156",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 UPPER FRONT ST",
            "address_2": "UNITED MEDICAL ASSOCIATES PC",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13901",
            "telephone_number": "607-722-3417",
            "fax_number": "607-722-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAEN",
        "first_name": "BRENDA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02727640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.