Active NPI
Mark Stephen Brandon, MD
- Obstetrics & Gynecology Physician
- Rockville Centre, NY
National Provider Identifier
1730123951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 167841
- Practice address
- 414 Hempstead Ave
Rockville Centre, NY 11570-2043 - Phone
- (516) 594-1200
- Fax
- (516) 594-3099
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 167841 | NY | Primary |
Addresses
Primary practice location
414 Hempstead Ave
Rockville Centre, NY 11570-2043
Mailing address
414 Hempstead Ave
Rockville Centre, NY 11570-2043
Phone (516) 594-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060627000055 | NY | Practitioner - Obstetrics/Gynecology | 2466464920 | Practice locations: Rockville Centre, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York Medical College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
414 Hempstead Ave
Rockville Centre, NY 11570-2043
Phone (516) 594-1200
Hospital & facility affiliations
- Mercy Medical Center
- North Shore University Hospital
- Mount Sinai South Nassau
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mbrandon@nyobg.adaptamed.direct-ci.com
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1730123951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 HEMPSTEAD AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702043",
"telephone_number": "516-594-1200",
"fax_number": "516-594-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 HEMPSTEAD AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702043",
"telephone_number": "516-594-1200",
"fax_number": "516-594-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "MARK",
"middle_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "167841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.