Active NPI
Bernadette P Brandon, DO
- Emergency Medicine Physician
- Newburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 197302
- Practice address
- 70 Dubois St
Newburgh, NY 12550-4851 - Phone
- (845) 565-9400
- Fax
- (845) 565-3395
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 197302 | NY | Primary |
Addresses
Primary practice location
70 Dubois St
Newburgh, NY 12550-4851
Mailing address
484 Temple Hill Rd
Ste 104
New Windsor, NY 12553-5557
Phone (845) 565-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01644724 | Medicaid | NY |
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 |
|---|---|---|---|---|
| I20050712000050 | NY | Practitioner - Emergency Medicine | 0547296535 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197302 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Vista Physician Services PC | Emergency Medicine | Current | Accepting new patients |
| Nyack Emergency Medical Association PLLC | Emergency Medicine | Current | Accepting new patients |
| Quarry Road Emergency Services P.C. | Emergency Medicine | Past | Accepting new patients |
| Bronx Park Urgent Medical Care PC | Past | Accepting new patients |
Locations
19 Laurel Ave
Cornwall, NY 12518
Phone (845) 343-6368
70 Dubois St
Ste 14
Newburgh, NY 12550
Phone (914) 567-1895
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Nyack, NY
- NPI 1174627293
Emergency Medicine, NY
-
- Internal Medicine Physician
- Newburgh, NY
- NPI 1164749115
Emergency Medicine
-
- General Practice Physician
- Bronx, NY
- NPI 1326191727
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1134238199
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nyack Emergency Medical Association PLLC
Practice addresses (Care Compare)
70 Dubois St
Newburgh, NY 12550-4851
Phone (954) 939-5000
Hospital & facility affiliations
- Montefiore St Luke'S Cornwall
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1790742377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 TEMPLE HILL RD",
"address_2": "STE 104",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125535557",
"telephone_number": "845-565-3700",
"fax_number": "845-565-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 DUBOIS ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125504851",
"telephone_number": "845-565-9400",
"fax_number": "845-565-3395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "BERNADETTE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "197302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01644724",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.