Individual provider Active NPI

Brooke Lindsley Davidson, D.O.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1730338039
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
247920 Issued in NY
Practice address
1471 1St Ave
Apt 3a
New York, NY 10075-2274
Phone
(516) 384-3131
NPI assigned
Sep 11, 2008
Last updated
Jul 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 247920 NY Primary

Addresses

Primary practice location

1471 1St Ave
Apt 3a
New York, NY 10075-2274

Mailing address

1471 1St Ave
Apt 3a
New York, NY 10075-2274
Phone (516) 384-3131

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081217000404 CT Practitioner - Obstetrics/Gynecology 2860554367 Reassigns benefits to 1 organization
I20121114000012 NY Practitioner - Obstetrics/Gynecology 2860554367 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046969CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jan 23, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 7, 2024 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Refuah Health Center Inc Current Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 23, 2023 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 23, 2023 Accepting new patients
Northeast Medical Group, PLLC Obstetrics & Gynecology CurrentSince Jan 23, 2023 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 7, 2024 Accepting new patients
Northern Westchester Hospital Association Past Accepting new patients
Mount Kisco Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

500 W Putnam Ave
Greenwich, CT 06830
Phone (203) 869-2510

20 York St
#329
New Haven, CT 06510
Phone (203) 688-1734

20 York St
Fl 3
New Haven, CT 06510
Phone (203) 688-0715

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

660 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 278-5582

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

145 Huguenot St
Ste 215
New Rochelle, NY 10801
Phone (914) 235-6060

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

3010 Westchester Ave
Ste 400
Purchase, NY 10577
Phone (914) 235-6060

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bdavidson67285@northwell.direct-ci.com

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1730338039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 1ST AVE",
            "address_2": "APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100752274",
            "telephone_number": "516-384-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 1ST AVE",
            "address_2": "APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100752274",
            "telephone_number": "516-384-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "BROOKE",
        "middle_name": "LINDSLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "247920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.