Bradley Scott Trivax, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

236257 Issued in NY

Practice address

500 Commack Rd Unit 204
Commack, NY 11725-5022

Phone

(631) 638-4600

Fax

(631) 638-4601

NPI assigned

Mar 21, 2007

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Wayne State University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Associates in Obstetrics and Gynecology University FacultyGroup PAC ID 9032001045, 114 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: bradley.trivax@sbcm.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Associates in Obstetrics & Gynecology, University Faculty P

  • Obstetrics & Gynecology Physician
  • Stony Brook, NY
  • NPI 1538114723
  Medicare reassignment Care Compare group NPD
• Integrated Medical Professionals PLLC

  • Urology Physician
  • Lake Success, NY
  • NPI 1346203536
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1558486050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 204",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255022",
            "telephone_number": "631-638-4600",
            "fax_number": "631-638-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 204",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255022",
            "telephone_number": "631-638-4600",
            "fax_number": "631-638-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVAX",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "236257",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A92047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradley.trivax@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "500 Commack Rd Unit 204",
            "city": "Commack",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117255022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Danielle Triana, RPA-C,MSPAS
• Jessica Trifilio, RD
• Kim Michele Trinchetto, MSPT
• Thomas Tringali
• Kelly Anne Trites, MS
• Ellyn Troisi, N.P.
• Susan Troiso
• Isabel Trombly, RN
• Tiffany Troso-Sandoval, MD
• True Acu LLC (True Acu)

• Obstetrics & Gynecology Physician in Commack, NY
• Providers in Commack, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.