Adam Michael Brook, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

215672-1 Issued in NY

Practice address

655 Yonkers Ave
Yonkers, NY 10704-2695

Phone

(646) 774-0971

Fax

(212) 202-4014

NPI assigned

Mar 6, 2007

Last updated

Apr 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Adam Brook MD PHD PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Yonkers, NY
  • NPI 1013145382
  Authorized official Same address or phone
• Del Mazo Medical Services

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1396807798
  NPD (past)
• Golden Gate Medical Group

  • General Practice Physician
  • San Francisco, CA
  • NPI 1356323463
  NPD (past)
• Sutter West Bay Medical Foundation

  dba Endoscopy Center of Santa Rosa

  • Ambulatory Surgical Clinic/Center
  • Santa Rosa, CA
  • NPI 1811242563
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1811027303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CENTRAL PARK W APT 12H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100250019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042695",
            "telephone_number": "646-774-0971",
            "fax_number": "212-202-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOK",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A69695",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "215672-1",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "068119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basha Brody, NP
• Cheryl Barbara Brody, R.D.
• Bronx River Road Licensed Clinical Social Work LLC (Mindful Living LCSW)
• Bronx Vamc
• Yvonne Broodie, MSW
• Donna D. Brooks-Blyden, MSW
• Terri-Jo Antoinette Brooks-Watson, M.S OTR/L
• Chelsea Brooks, PT, DPT
• Ralmetha Brooks
• Shanae Brooks

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.