Active NPI
Brian G. Cole, M.D., M.PH.
- Internal Medicine Physician
- Broad Top, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 223347
- Practice address
- 4133 Medical Center Dr
Broad Top, PA 16621-9001 - Phone
- (814) 635-2916
- Fax
- (814) 635-2918
- NPI assigned
- May 19, 2006
- Last updated
- Feb 12, 2014
- Sex
- Male
- 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 | 223347 | MA | Primary |
Addresses
Primary practice location
4133 Medical Center Dr
Broad Top, PA 16621-9001
Mailing address
4133 Medical Center Dr
Broad Top, PA 16621-9001
Phone (814) 635-2916
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10837 71St Ave
Suite 2
Forest Hills, NY 11375-4510
Phone (718) 575-8787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223347 | MA | MD | Internal Medicine Physician |
| 11150 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Heights Health Center, Inc. | Current | Accepting new patients | |
| Morris Heights Health Center, Inc. | Current | Accepting new patients | |
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| St Regis Mohawk Tribe | Current | Accepting new patients | |
| Broad Top Area Medical Center, Inc | Past | Accepting new patients | |
| Pinecroft Medical Center | Past | Accepting new patients | |
| Tyrone Medical Associates Specs | Past | Accepting new patients |
Locations
85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270
404 State Route 37
Hogansburg, NY 13655
Phone (518) 358-3141
412 State Route 37
Hogansburg, NY 13655
Phone (518) 358-3141
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
Interoperability endpoints
- brian.cole.p1@direct.ezramedical.nextgenshare.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1841323771
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1184694291
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
dba St Regis Mohawk Health Services
- Federally Qualified Health Center (FQHC)
- Akwesasne, NY
- NPI 1457344558
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1104374685
-
dba BTAMC Belleville Wellness Center
- Federally Qualified Health Center (FQHC)
- Belleville, PA
- NPI 1659945483
-
- Family Medicine Physician
- Altoona, PA
- NPI 1780622621
-
- Orthopaedic Surgery Physician
- Tyrone, PA
- NPI 1952344459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1184678955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4133 MEDICAL CENTER DR",
"city": "BROAD TOP",
"state": "PA",
"postal_code": "166219001",
"telephone_number": "814-635-2916",
"fax_number": "814-635-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4133 MEDICAL CENTER DR",
"city": "BROAD TOP",
"state": "PA",
"postal_code": "166219001",
"telephone_number": "814-635-2916",
"fax_number": "814-635-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "BRIAN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D., M.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "223347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broad Top, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.