BRMC Medical PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

214716 Issued in NY

Legal business name

BRMC MEDICAL PLLC

Practice address

1262 Boston Rd
2ND Floor
Bronx, NY 10456-3602

Phone

(718) 617-2500

Fax

(718) 617-0550

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Cornielle, M.D.NPI 1255408365

Title

President

Phone

(718) 617-2500

Specialties & licenses 1

Addresses

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Luis Cornielle, MD

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1255408365
  Medicare reassignment NPD Authorized official
• Chukwuka Mordi, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dix Hills, NY
  • NPI 1962708529
  Medicare reassignment Care Compare group NPD
• Lorena M Grullon-Figueroa, M.D.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1437316866

  NY

  Medicare reassignment Care Compare group NPD
• Robert M Simon, MD

  • Physical Medicine & Rehabilitation Physician
  • Larchmont, NY
  • NPI 1851365449
  Medicare reassignment NPD

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1629358908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563602",
            "telephone_number": "718-617-2500",
            "fax_number": "718-617-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563602",
            "telephone_number": "718-617-2500",
            "fax_number": "718-617-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRMC MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "CORNIELLE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-617-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "214716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylah Britt
• Yolanda Briu, LMSW
• Eulalee Brivett
• Alex Brizer
• Tisha Brizz, PA
• Matilde Broadbent, MSED
• Broadway Dental
• Broadway Eyecare Inc
• Margaret Brobbey, COTA
• Nana Ama Brobbey, RN

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.