Individual provider Active NPI

Brett D Halper, MD

  • Family Medicine Physician
  • Rockville Ctr, NY
National Provider Identifier
1174506711
Registry record updated Mar 15, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228964 Issued in NY
Practice address
55 Maple Ave
Suite 102
Rockville Ctr, NY 11570-4274
Phone
(516) 536-2221
Fax
(516) 764-8747
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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 228964 NY Primary

Addresses

Primary practice location

55 Maple Ave
Suite 102
Rockville Ctr, NY 11570-4274

Mailing address

55 Maple Ave
Suite 102
Rockville Ctr, NY 11570-4274
Phone (516) 536-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
228964NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1174506711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAPLE AVE",
            "address_2": "SUITE 102",
            "city": "ROCKVILLE CTR",
            "state": "NY",
            "postal_code": "115704274",
            "telephone_number": "516-536-2221",
            "fax_number": "516-764-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAPLE AVE",
            "address_2": "SUITE 102",
            "city": "ROCKVILLE CTR",
            "state": "NY",
            "postal_code": "115704274",
            "telephone_number": "516-536-2221",
            "fax_number": "516-764-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPER",
        "first_name": "BRETT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Ctr, NY

Sources for this page

Verify at the official NPI Registry.