Bellamy Brook, D.O. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

215053-1 Issued in NY

Practice address

300 Old Country Rd Ste 2
Riverhead, NY 11901-2146

Phone

(631) 405-5544

Fax

(800) 627-1462

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles (4 of 8)

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: bbrook65426@northwell.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HIACCD/Endpoint/HIACCD
• Direct secure messaging: bellamybrook@nslijmedgr.allscriptsdirect.net

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.

• Dr. Bellamy Brook DO PC

  • Family Medicine Physician
  • Riverhead, NY
  • NPI 1609013580

  NY

  Medicare reassignment Authorized official
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Family Medicine, NY

  Medicare reassignment NPD
• Dr. Judith Magloczki, D.O., P.C.

  • Family Medicine Physician
  • Riverhead, NY
  • NPI 1649916404

  Family Medicine

  NPD
• Vytaliz Medical

  • Internal Medicine Physician
  • New City, NY
  • NPI 1568831105
  NPD
• Island Urgent Medical Care, P.C.

  • Urgent Care Clinic/Center
  • Riverhead, NY
  • NPI 1588675466

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• QC-Medi New York, Inc.

  • Home Health Agency
  • Hauppauge, NY
  • NPI 1376575977
  Care Compare affiliation Name & address match
• Central Suffolk Hospital

  • Home Health Agency
  • Riverhead, NY
  • NPI 1932155678
  Care Compare affiliation
• Nursing Sisters Home Care, Inc.

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
• Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147

Procedures performed for Medicare patients

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477511749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD STE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012146",
            "telephone_number": "631-405-5544",
            "fax_number": "800-627-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD STE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012146",
            "telephone_number": "631-405-5544",
            "fax_number": "800-627-1462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6144 Route 25A Ste 14",
            "address_purpose": "LOCATION",
            "city": "Wading River",
            "state": "NY",
            "postal_code": "117922008",
            "country_code": "US",
            "telephone_number": "631-405-5544",
            "fax_number": "800-627-1462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOK",
        "first_name": "BELLAMY",
        "name_prefix": "Dr.",
        "credential": "D.O. P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215053-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROFESSIONAL LICENS",
            "identifier": "215053-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11541228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Brechter, NP
• Alexis Breest, PHYSICIAN ASSISTANT
• Phoebe Brenner
• Diane Marie Brewer, CASAC
• Susan A Brigham, RN
• Zuria Brown-Hudson, LPN
• Evelyn Christine Brown-Mutlu
• Alyssa Brown, LPN
• Kathleen T Brown, A-NP
• Patrice Brown

• All providers in Riverhead, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.