Dr. Bellamy Brook DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

215053-1 Issued in NY

Legal business name

DR. BELLAMY BROOK DO PC

Practice address

300 Old Country Rd Ste 2
Riverhead, NY 11901-2146

Phone

(631) 405-5544

NPI assigned

Jan 14, 2009

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bellamy Brook, D.O. PCNPI 1477511749

Title

Physician

Phone

(631) 998-3434

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bellamy Brook, D.O. P.C.

  • Family Medicine Physician
  • Riverhead, NY
  • NPI 1477511749
  Medicare reassignment Authorized official
• Judith Marianna Magloczki, D.O.

  • Family Medicine Physician
  • Margaretville, NY
  • NPI 1801240064
  Medicare reassignment NPD
• Christine Marie O'Donoghue- Kitt, MD

  • Family Medicine Physician
  • Riverhead, NY
  • NPI 1306039482
  Medicare reassignment NPD

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609013580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD STE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012146",
            "telephone_number": "631-405-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD STE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012146",
            "telephone_number": "631-405-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 E MAIN ST",
            "address_purpose": "LOCATION",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11931",
            "country_code": "US",
            "telephone_number": "631-998-3434",
            "fax_number": "631-727-6803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. BELLAMY BROOK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "BROOK",
        "authorized_official_first_name": "BELLAMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-998-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O. PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215053-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROFESSIONAL LICENSE",
            "identifier": "215053-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11541228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Paul Doroski, DMD
• Lyndsay R Doroski, OTR/L
• Marie-Jose Dorval-Dorcely, M.D
• Megan Taylor Dow, FNP-C
• John Lawrence Dox III
• Dr. Gerald a. Esmond, DPM,PC
• Dr. Gregory P Doroski DMD
• Dr. Judith Magloczki, D.O., P.C.
• Teresa Duda, RN
• Erin Marie Duenas, MS, RDN, CDN

• Family Medicine Physician in Riverhead, NY
• Providers in Riverhead, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.