Individual provider Active NPI

Brenda H Cooley, N.P.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1114933728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F334037-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F334037-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Oct 8, 2022 Accepting new patients
University of Rochester Internal Medicine Current Accepting new patients
University of Rochester CurrentSince Oct 8, 2022 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.

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

Verify at the official NPI Registry.