Active NPI
Gerard D Brocato, M.D.
- Otolaryngology Physician
- Huntsville, AL
National Provider Identifier
1649377664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 00013155
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009952070 | Medicaid | AL | |
| 51501690 | Other | AL | BLUECROSS BLUESHIELD |
| 174148900 | Other | US DEPARTMENT OF LABOR | |
| 51079124 | Other | AL | BLUECROSS BLUESHIELD |
| 990013561 | Other | RAILROAD RETIREMENT | |
| 0004228510 | Other | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.9 of 100
- Quality
- 81.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00013155 | AL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Alabama ENT Associates | Otolaryngology | Current | Accepting new patients |
| North Alabama ENT Associates, P.C. | Otolaryngology | Past | Accepting new patients |
| HH Physicians Network | Past | Accepting new patients | |
| The Health Care Authority of the City of Huntsville | Past | Accepting new patients | |
| Physicians Hearing Center | Past | 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.
-
- Otolaryngology Physician
- Huntsville, AL
- NPI 1437279601
-
- Specialist
- Huntsville, AL
- NPI 1891359683
-
- Otolaryngology Physician
- Madison, AL
- NPI 1215057492
-
- Audiologist
- Huntsville, AL
- NPI 1972749885
-
- Psychiatry Physician
- Huntsville, AL
- NPI 1760400535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.
- 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.