Individual provider Active NPI

Alan Mark Brickman, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1104917343
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
00133229 Issued in NY
Practice address
1318 52ND St
Brooklyn, NY 11219-3802
Phone
(718) 436-9898
Fax
(718) 854-1123
NPI assigned
Sep 27, 2006
Last updated
Dec 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00133229 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 00133229 NY Primary

Addresses

Primary practice location

1318 52ND St
Brooklyn, NY 11219-3802

Mailing address

1318 52ND St
Brooklyn, NY 11219-3802
Phone (718) 436-9898

Other identifiers 4

IdentifierTypeStateIssuer
00133229OtherNYNYS LICENSE#
00641525MedicaidNY
P671498OtherNYOXFORD INSURANCE#
11-2572056OtherTAX ID#

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
I20110907001346 NY Practitioner - Internal MedicinePractitioner - Endocrinology 8527238294 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Albert Einstein College of Medicine of Yeshiva University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00133229NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Jun 15, 2018 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jun 15, 2018 Accepting new patients
Eliezer Greenberg DPM PC Past Accepting new patients
Penina Burnstein MD PLLC PastSince Jan 1, 2008 Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

Networks

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1104917343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 52ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193802",
            "telephone_number": "718-436-9898",
            "fax_number": "718-854-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 52ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193802",
            "telephone_number": "718-436-9898",
            "fax_number": "718-854-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKMAN",
        "first_name": "ALAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "00133229",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "00133229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE#",
            "identifier": "00133229",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00641525",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE#",
            "identifier": "P671498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "11-2572056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.