Active NPI
Brenda H Cooley, N.P.
- Internal Medicine Physician
- Rochester, NY
National Provider Identifier
1114933728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F334037-1
- Practice address
- 250 Crittenden Blvd
Box 617
Rochester, NY 14642-8617 - Phone
- (585) 275-2662
- Fax
- (585) 276-0149
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F334037-1 | NY | Primary |
Addresses
Primary practice location
250 Crittenden Blvd
Box 617
Rochester, NY 14642-8617
Mailing address
250 Crittenden Blvd
Box 617
Rochester, NY 14642-8617
Phone (585) 275-2662
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F334037-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Internal Medicine | Current | Accepting new patients |
| University of Rochester | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Internal Medicine | Past | Accepting new patients |
Locations
617 250 Crittenden Blvd Box
Rochester, NY 14642
Phone (585) 275-2662
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Rochester, NY
- NPI 1548583305
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114933728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CRITTENDEN BLVD",
"address_2": "BOX 617",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146428617",
"telephone_number": "585-275-2662",
"fax_number": "585-276-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CRITTENDEN BLVD",
"address_2": "BOX 617",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146428617",
"telephone_number": "585-275-2662",
"fax_number": "585-276-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "BRENDA",
"middle_name": "H",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "F334037-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.