Amy Jeanne Brueckner Amedure, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

233710 Issued in NY

Practice address

14 Bristol LN
Ellicottville, NY 14731

Phone

(716) 699-9032

Fax

(716) 699-9035

NPI assigned

Jan 17, 2006

Last updated

Jan 22, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY, IN, OH, PA, MI, IL6 enrollments

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 6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

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.

• St. Peter's Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834

  Family Medicine

  Medicare reassignment NPD
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162

  IL, PA

  Medicare reassignment NPD
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment NPD
• Pic Indiana PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890

  MI

  Medicare reassignment NPD
• University Hospitals Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Beachwood, OH
  • NPI 1124765052
  Medicare reassignment NPD
• Anderson Medical P.C. Dba Emergency One

  • Urgent Care Clinic/Center
  • Kingston, NY
  • NPI 1114043411
  Medicare reassignment
• Hometown Urgent Care of Michigan, P.C.

  dba Hometown Urgent Care

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385

  MI

  Medicare reassignment
• Hometown Urgent Care of Michigan, P.C.

  dba WellNow Clinical Laboratory

  • Clinical Medical Laboratory
  • Kalamazoo, MI
  • NPI 1891469631
  NPD
• University Hospitals Urgent Care, LLC

  dba UH Chagrin Highlands Urgent Care

  • Urgent Care Clinic/Center
  • Beachwood, OH
  • NPI 1457070989
  NPD
• Ajb Family Medicine PC

  • Health Service Clinic/Center
  • Saugerties, NY
  • NPI 1558542969
  NPD (past)
• Hudson Valley Family Physicians

  • Internal Medicine Physician
  • Kingston, NY
  • NPI 1609968593

  Family Medicine

  NPD (past)
• Primary Eyecare Optometry PC

  • Optometrist
  • Monsey, NY
  • NPI 1760661524
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1598744690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WOODLAND LN",
            "city": "PALENVILLE",
            "state": "NY",
            "postal_code": "124632525",
            "telephone_number": "518-542-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BRISTOL LN",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "14731",
            "telephone_number": "716-699-9032",
            "fax_number": "716-699-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "854 Route 212",
            "address_purpose": "LOCATION",
            "city": "Saugerties",
            "state": "NY",
            "postal_code": "124774619",
            "country_code": "US",
            "telephone_number": "845-246-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEDURE",
        "first_name": "AMY",
        "middle_name": "JEANNE BRUECKNER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Adamchak, M.D.
• Hamud Alasri, DPT
• Anew Beginning Massage and Spa
• Joanne Bennett Timkey, L.M.T.
• Lindsey Marie Bradley
• Chantele Comstock, LPN
• Tracy J Draper

• Family Medicine Physician in Ellicottville, NY
• Providers in Ellicottville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.