Howard Bradnock MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

181072 Issued in NY

Legal business name

HOWARD BRADNOCK MD PC

Practice address

19616 Hillside Ave
Hollis, NY 11423-2125

Phone

(718) 217-6806

Fax

(718) 217-0339

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Howard W Bradnock, MDNPI 1225002751

Title

President

Phone

(718) 217-6806

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard W Bradnock, MD

  • Gastroenterology Physician
  • Hollis, NY
  • NPI 1225002751
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1376712356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19616 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232125",
            "telephone_number": "718-217-6806",
            "fax_number": "718-217-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19616 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232125",
            "telephone_number": "718-217-6806",
            "fax_number": "718-217-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD BRADNOCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "BRADNOCK",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-217-6806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "181072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine Huger, LMSW
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• Gastroenterology Physician in Hollis, NY
• Providers in Hollis, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.