Brian R Bennett, MD
Individual provider Active NPI Internal Medicine Physician · Auburn, NY
NPI 1477501609 · NPPES record last updated Sep 7, 2007
Key facts
- NPI
- 1477501609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 240010 (NY)
- Practice address
- 77 Nelson St
Suite 310
Auburn, NY 13021-1944 - Phone
- (315) 253-4463
- Fax
- (315) 253-5624
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York at Buffalo School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Internal Medicine Associates of Auburn
Practice addresses (Care Compare)
77 Nelson St
Auburn, NY 13021-1945
Phone (315) 253-4463
Hospital & facility affiliations
- Centerwell Home Health
- Hospice of Central New York
- Auburn Community Hospital
- University Hospital S U N Y Health Science Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.05 of 100
- Quality
- 97.55
- Improvement activities
- 40
- Cost
- 76.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061020000249 | NY | Practitioner - Internal Medicine | 2961408646 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Associates of Auburn | Internal Medicine | Current |
Accepting new patients |
Locations
77 Nelson St
Ste 310
Auburn, NY 13021
Phone (315) 253-4463
Interoperability endpoints
- bbennett@imaamed.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 240010 | NY | Yes |
Addresses
Primary practice location
77 Nelson St
Suite 310
Auburn, NY 13021-1944
Mailing address
77 Nelson St
Suite 310
Auburn, NY 13021-1944
Phone (315) 253-4463
Other providers in Auburn, NY
- Michelle Lorraine Belgard
- Jacklyn Bell
- Adele Ann Bellnier
- George Ben
- Barbara Bender
- Kim Bennett
- Shana M. Bennett
- Robert E. Benz
- Ashley Leann Berg
- Staci Helene Berg
All providers in Auburn, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.