Brooke Alison Davidson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016929 Issued in NY

Practice address

26908 Independence Way
Evans Mills, NY 13637-3300

Phone

(315) 782-6900

Fax

(315) 782-2581

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mercy College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FLH Medical PCGroup PAC ID 6507922358, 47 clinicians

Soldiers and Sailors Memorial HospitalGroup PAC ID 0446164255, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geneva General Hospital Hospital, Geneva, NY, CCN 330058
• Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.davidson.p2@direct.usppny.nextgenshare.com
• Direct secure messaging: b.davidson@flhmedical.medentdirect.com

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.

• FLH Medical, PC

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1215174644
  Medicare reassignment Care Compare group NPD
• Soldiers & Sailors Memorial Hospital

  dba Soldiers & Sailors Memorial Hospital Hospitalist

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618
  Medicare reassignment Care Compare group NPD
• Geneva General Hospital, Inc.

  dba Geneva General Hospital Physician Practices

  • Family Medicine Physician
  • Geneva, NY
  • NPI 1215194501
  Medicare reassignment NPD
• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Medicare reassignment
• Geneva General Hospital, Inc

  • Family Medicine Physician
  • Clyde, NY
  • NPI 1255087003
  NPD
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Waterloo, NY
  • NPI 1972101491
  NPD
• Geneva General Hospital Inc.

  • General Acute Care Hospital
  • Geneva, NY
  • NPI 1952418352
  NPD (past)

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

• Geneva General Hospital Inc.

  • General Acute Care Hospital
  • Geneva, NY
  • NPI 1952418352
  Care Compare affiliation
• Geneva General Hospital, Inc

  • Family Medicine Physician
  • Clyde, NY
  • NPI 1255087003

  Hospital

  Care Compare affiliation
• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516
  Care Compare affiliation
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1538708128

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1477989424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373300",
            "telephone_number": "315-782-6900",
            "fax_number": "315-782-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373300",
            "telephone_number": "315-782-6900",
            "fax_number": "315-782-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "BROOKE",
        "middle_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01995615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Butler
• Sarah Byers
• Abdul Rehman Chaudhry, MD
• Alexa Lee Clemons, LMT
• Credo Community Center for the Treatment of Addictions
• Jennifer Lynn Dean, RPH
• Michael S Diamond, O.D.
• Evans Mills Volunteer Ambulance Squad Inc
• Evans Mills Volunteer Ambulance Squad Incorporated
• Alicia Fitzsimmons

• Physician Assistant in Evans Mills, NY
• Providers in Evans Mills, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.