Individual provider Active NPI

Bryan Yoonsok Choi, MD

  • Emergency Medicine Physician
  • Providence, RI
National Provider Identifier
1740440262
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD13974 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 854-2504
Fax
(041) 854-2519
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Emergency Physicians LLC (80 clinicians)

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-7113

Hospital & facility affiliations

  • Bayhealth Hospital, Sussex Campus Hospital · Milford, DE · CCN 080009
  • Bayhealth Medical Center, Kent Campus Hospital · Dover, DE · CCN 080004

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100 (group)
Quality
78.42
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200519000112 DE Practitioner - Emergency Medicine 9133377567 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0013708DEMDEmergency Medicine Physician
LP01348RIMDEmergency Medicine Physician
MD13974RIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Emergency Physicians LLC Emergency Medicine Current
since Jul 1, 2020
Accepting new patients

Locations

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LP01348 RI
Emergency Medicine Physician 207P00000X C1-0013708 DE
Emergency Medicine Physician 207P00000X MD13974 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19904-3530
Phone (302) 480-1688

Other practice location 1

640 S State St
Dover, DE 19901-3530
Phone (302) 744-6156

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
110093075AMedicaidMA
08/21/12OtherRITUFTS HEALTH PLAN
08/24/12OtherRIHEALTHNET FED SERVICES
09/13/2012OtherRINHPRI
BC89597MedicaidRI
07/24/2012OtherRIBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2020.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1740440262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-854-2504",
            "fax_number": "041-854-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S State St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013530",
            "country_code": "US",
            "telephone_number": "302-744-6156",
            "fax_number": "302-735-3845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "BRYAN",
        "middle_name": "YOONSOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "LP01348",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C1-0013708",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD13974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093075A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "08/21/12",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FED SERVICES",
            "identifier": "08/24/12",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHPRI",
            "identifier": "09/13/2012",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BC89597",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07/24/2012",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.