Brenda M. Phillips, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

185388 Issued in NY

Practice address

154 Prospect Ave
Plattsburgh, NY 12901-1302

Phone

(518) 563-5440

Fax

(518) 563-1206

NPI assigned

May 10, 2006

Last updated

Jan 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1780633230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 PROSPECT AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011302",
            "telephone_number": "518-563-5440",
            "fax_number": "518-563-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 PROSPECT AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011302",
            "telephone_number": "518-563-5440",
            "fax_number": "518-563-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRENDA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01243645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Peters, PHARM.D.
• Daniel J Peters
• Emily Amelia Petro, CCC-SLP
• Dhiraj Phadtare, P.T.
• PHG Medical Office, LLP
• Brigitte Louise Phillips, M.S.
• Dove Phillips, LMHC, ATR-BC
• Michael Edward Phillips, MD
• Robert E. Phillips, A.B.O.C.
• Jacques Piche, M.D., F.R.S.C. (C)

• Internal Medicine Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.