Individual provider Active NPI

Pierson Anders Ebrom, D.O.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1205247079
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
333730 Issued in NY
Practice address
3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone
(718) 252-3000
NPI assigned
May 15, 2014
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102206000 VA
Emergency Medicine Physician 207P00000X 333730 NY Primary

Addresses

Primary practice location

3201 Kings Hwy
Brooklyn, NY 11234-2625

Mailing address

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

Other practice location 1

4701 Columbus St Ste 100
Virginia Beach, VA 23462-6725
Phone (757) 772-6066

Other practice location 2

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

Other practice location 3

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-2467

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200611001553 VA Practitioner - Emergency Medicine 3375881709 Reassigns benefits to 5 organizations
I20250527002420 NY Practitioner - Emergency Medicine 3375881709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 932-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
333730NYMDEmergency Medicine Physician
0102206000VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC Single Specialty Current Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Single Specialty CurrentSince Jun 15, 2020 Accepting new patients
CMH Physician Services, LLC CurrentSince Aug 19, 2023 Accepting new patients
Emergency Coverage, LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Fpa Hospital Based Single Specialty Current Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Rejuvinix, LLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 15, 2020 Accepting new patients
Emergency Medicine Services of VA, LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients

Locations

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

5001 Plank Rd
Fredericksburg, VA 22407
Phone (540) 498-4000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

4701 Columbus St
Ste 100
Virginia Beach, VA 23462
Phone (414) 736-1317

15255 Watertown Plank Rd
Ste 200
Elm Grove, WI 53122
Phone (414) 736-1317

Networks

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

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1205247079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342625",
            "telephone_number": "718-252-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342625",
            "telephone_number": "718-252-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Columbus St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234626725",
            "country_code": "US",
            "telephone_number": "757-772-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-447-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-828-9429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBROM",
        "first_name": "PIERSON",
        "middle_name": "ANDERS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102206000",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "333730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4701 Columbus St Ste 100",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234626725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.