Active NPI
Brent Christian Sizemore
- Licensed Practical Nurse
- Bellport, NY
National Provider Identifier
1649152083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 335384
- Practice address
- 18 Sunbonnet LN
Bellport, NY 11713-1144 - Phone
- (314) 474-2093
- NPI assigned
- Jul 25, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 335384 | NY | Primary |
Addresses
Primary practice location
18 Sunbonnet LN
Bellport, NY 11713-1144
Mailing address
18 Sunbonnet Lane
Brentcsizemore@Gmail.Com
Bellport, NY 11713
Phone (314) 474-2093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335384 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1649152083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 SUNBONNET LANE",
"address_2": "BRENTCSIZEMORE@GMAIL.COM",
"city": "BELLPORT",
"state": "NY",
"postal_code": "11713",
"telephone_number": "314-474-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 SUNBONNET LN",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117131144",
"telephone_number": "314-474-2093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIZEMORE",
"first_name": "BRENT",
"middle_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "335384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.