Active NPI
Brooke Jonathan Nevins, MD
- Internal Medicine Physician
- Bronxville, NY
National Provider Identifier
1508910209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 143067
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients |
Locations
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Interoperability endpoints
- 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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
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
- Nasir Hasnain Naqvi, MD, PHD
- Shannon N Navas
- Peter Nelson, PH. D.
- Sofia Nersessova
- Neurologic Consultants of Westchester LLP
- New England Orthotic and Pros System
- New York Associates in Gastroenterology, LLP
- New York-Presbyterian/Lawrence Hospital
- New York-Presbyterian/Lawrence Hospital
- New York-Presbyterian/Lawrence Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.