Individual provider Active NPI

Henry Brejt, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1225009715
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
154511 Issued in NY
Practice address
1353 45TH St
Brooklyn, NY 11219-2102
Phone
(718) 435-0876
Fax
(718) 851-2608
NPI assigned
Jan 31, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 154511 NY Primary

Addresses

Primary practice location

1353 45TH St
Brooklyn, NY 11219-2102

Mailing address

1440 E 21St St
Brooklyn, NY 11210-5034
Phone (718) 692-4193

Other identifiers 1

IdentifierTypeStateIssuer
01014213MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001606 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0941260152 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1440 E 21St St
Brooklyn, NY 11210-5034

1455 Coney Island Ave
Brooklyn, NY 11230-4713
Phone (718) 252-9800

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Upper gastrointestinal (GI) endoscopy for acid reflux149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154511NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Ariel & Sons Pedorthics LLC PastSince Jun 21, 2020 Accepting new patients
Brooklyn Chiropractic Spine & Sports Injury PC Past Accepting new patients
East Shore Medical PC Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: henrybrejt@mai.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1225009715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105034",
            "telephone_number": "718-692-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192102",
            "telephone_number": "718-435-0876",
            "fax_number": "718-851-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREJT",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "154511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01014213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.