NPIMap

Individual provider Active NPI

Brian Heppard, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Rochester, NY
National Provider Identifier
1407965346
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
213765 Issued in NY
Practice address
2021 Winton Rd S
Rochester, NY 14618-3957
Phone
(585) 244-5993
Fax
(585) 272-0186
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 213765 NY Primary
Family Medicine Physician 207Q00000X 213765 NY
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 213765 NY

Addresses

Primary practice location

2021 Winton Rd S
Rochester, NY 14618-3957

Mailing address

2021 Winton Rd S
Rochester, NY 14618-3957
Phone (585) 244-5993

Other identifiers 1

IdentifierTypeStateIssuer
02165548MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000394 NY Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Hospice/Palliative Care 2264449545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Home of RochesterGroup PAC ID 7517045719, 2 clinicians

Practice addresses (Care Compare)

2021 Winton Rd S
Rochester, NY 14618-3957
Phone (585) 427-7760

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Church Home of the Protestant Episcopal Church in the City of Roch Current Accepting new patients
Jewish Home of Rochester CurrentSince Oct 28, 2024 Accepting new patients

Locations

2021 Winton Rd S
Rochester, NY 14618
Phone (585) 427-7760

Interoperability endpoints

  • Direct secure messaging: brianheppard@eslc.netsmartdirect.net
  • Direct secure messaging: bheppardmd@jewishhomeroc.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1407965346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-244-5993",
            "fax_number": "585-272-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-244-5993",
            "fax_number": "585-272-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPARD",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "213765",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "213765",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "213765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02165548",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.