Individual provider Active NPI

Emmanuel Brunot, MD PHYSICIAN

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1295896223
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
NYLIC#193810 Issued in NY
Practice address
5520 Glenwood Road
Suite 3B
Brooklyn, NY 11234
Phone
(718) 531-5807
Fax
(718) 251-1332
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NYLIC#193810 NY
Neurology Physician 2084N0400X NYLIC#193810 NY Primary

Addresses

Primary practice location

5520 Glenwood Road
Suite 3B
Brooklyn, NY 11234

Mailing address

10 Ash Drive
Roslyn, NY 11576
Phone (516) 629-6766

Other identifiers 1

IdentifierTypeStateIssuer
01530478MedicaidNY

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
I20080312000632 NY Practitioner - NeurologyPractitioner - Pediatric Medicine 4981789005 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NYLIC#193810NYMDNeurology Physician

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates PC CurrentSince Jan 1, 2021 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Jan 1, 2021 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. Pediatrics CurrentSince Oct 1, 2015 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Rutland Nursing Home Inc Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

528 Prospect Pl
Brooklyn, NY 11238
Phone (718) 613-6800

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

Networks

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

Organizations & group practices 7

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295896223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ASH DRIVE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "516-629-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 GLENWOOD ROAD",
            "address_2": "SUITE 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-531-5807",
            "fax_number": "718-251-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNOT",
        "first_name": "EMMANUEL",
        "credential": "MD PHYSICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "NYLIC#193810",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "NYLIC#193810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01530478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.