Active NPI
Brian F Reagan, MD
- Internal Medicine Physician
- Cooperstown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 175603
- Practice address
- 1 Atwell Rd
Cooperstown, NY 13326-1301 - Phone
- (607) 547-4625
- Fax
- (607) 547-3259
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 223839 | MA | |
| Internal Medicine Physician | 207R00000X | 175603 | NY | Primary |
Addresses
Primary practice location
1 Atwell Rd
Cooperstown, NY 13326-1301
Mailing address
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-4625
Other practice location 1
525 Long Pond Dr
Harwich, MA 02645-1227
Phone (508) 430-3322
Other practice location 2
1629 Main St
Chatham, MA 02633-2711
Phone (508) 348-5005
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2114062 | Medicaid | MA | |
| AA60600 | Other | MA | HPHC |
| 494626 | Other | MA | TUFTS |
| J29859 | Other | MA | BCBS PROV # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Georgetown University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20333 | MD | MD | Pharmacist |
| 175603 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mid-Atlantic Critical Care Services,L.L.C. | Past | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Past | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
Interoperability endpoints
- breagan35807@bassett.direct-ci.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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
-
- Critical Care Medicine (Internal Medicine) Physician
- Takoma Park, MD
- NPI 1164455853
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1447202882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261301",
"telephone_number": "607-547-4625",
"fax_number": "607-547-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261301",
"telephone_number": "607-547-4625",
"fax_number": "607-547-3259"
}
],
"practiceLocations": [
{
"address_1": "525 Long Pond Dr",
"address_purpose": "LOCATION",
"city": "Harwich",
"state": "MA",
"postal_code": "026451227",
"country_code": "US",
"telephone_number": "508-430-3322",
"fax_number": "508-432-8951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1629 Main St",
"address_purpose": "LOCATION",
"city": "Chatham",
"state": "MA",
"postal_code": "026332711",
"country_code": "US",
"telephone_number": "508-348-5005",
"fax_number": "508-348-5008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REAGAN",
"first_name": "BRIAN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "223839",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "175603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2114062",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA60600",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "494626",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "J29859",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.