Individual provider Active NPI

Brooke Jonathan Nevins, MD

  • Internal Medicine Physician
  • Bronxville, NY
National Provider Identifier
1508910209
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
143067 Issued in NY
Practice address
130 Pondfield Rd
Ste 2
Bronxville, NY 10708-4016
Phone
(914) 337-1212
Fax
(914) 337-2847
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 143067 NY Primary

Addresses

Primary practice location

130 Pondfield Rd
Ste 2
Bronxville, NY 10708-4016

Mailing address

130 Pondfield Rd
Ste 2
Bronxville, NY 10708-4016
Phone (914) 337-1212

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Brooke.Nevins@wmchealth.cernerdirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000543 NY Practitioner - Internal Medicine 1456319045 Reassigns benefits to 1 organization
Practice locations: Bronxville, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Pondfield Rd
Suite 2
Bronxville, NY 10708-4016
Phone (914) 337-1212

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jun 1, 2018 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 1, 2018 Accepting new patients

Locations

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: brooke.nevins@wmchealth.cernerdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1508910209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PONDFIELD RD",
            "address_2": "STE 2",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084016",
            "telephone_number": "914-337-1212",
            "fax_number": "914-337-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PONDFIELD RD",
            "address_2": "STE 2",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084016",
            "telephone_number": "914-337-1212",
            "fax_number": "914-337-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVINS",
        "first_name": "BROOKE",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "143067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brooke.Nevins@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "130 PONDFIELD RD",
            "address_2": "STE 2",
            "city": "BRONXVILLE",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107084016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.