Individual provider Active NPI

Gerard D Brocato, M.D.

  • Otolaryngology Physician
  • Huntsville, AL
National Provider Identifier
1649377664
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
00013155 Issued in AL
Practice address
1963 Memorial Parkway SW
Suite 5
Huntsville, AL 35801
Phone
(256) 536-9300
Fax
(256) 535-9032
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 00013155 AL Primary

Addresses

Primary practice location

1963 Memorial Parkway SW
Suite 5
Huntsville, AL 35801

Mailing address

PO Box 18066
Huntsville, AL 35804-8066
Phone (256) 536-9300

Other identifiers 6

IdentifierTypeStateIssuer
009952070MedicaidAL
51501690OtherALBLUECROSS BLUESHIELD
174148900OtherUS DEPARTMENT OF LABOR
51079124OtherALBLUECROSS BLUESHIELD
990013561OtherRAILROAD RETIREMENT
0004228510OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100816000980 AL Practitioner - Otolaryngology 6305916602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.9 of 100Reported as group
Quality
81.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00013155ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama ENT Associates Otolaryngology CurrentSince Dec 2, 1997 Accepting new patients
North Alabama ENT Associates, P.C. Otolaryngology Past Accepting new patients
HH Physicians Network PastSince Nov 1, 2023 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients
Physicians Hearing Center PastSince Nov 1, 2008 Accepting new patients

Locations

1963 Memorial Pkwy SW
Ste 5
Huntsville, AL 35801
Phone (256) 265-2464

927 Franklin St SE
Ste 100
Huntsville, AL 35801
Phone (256) 535-9038

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1649377664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18066",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048066",
            "telephone_number": "256-536-9300",
            "fax_number": "256-535-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 MEMORIAL PARKWAY SW",
            "address_2": "SUITE 5",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-536-9300",
            "fax_number": "256-535-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCATO",
        "first_name": "GERARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "00013155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009952070",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "51501690",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "174148900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "51079124",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "990013561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004228510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.