NPIMap

Organization Active NPI

Brownsville Community Development Corporation

Doing business as BMS at Bristol

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1851571392
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Doing business as
BMS at Bristol
BMS-ISIS @ Bristol
Practice address
259 Bristol St
Brooklyn, NY 11212-5540
Phone
(718) 345-5000
NPI assigned
Nov 13, 2007
Organization subpart
Yes
Parent organization
BROWNSVILLE COMMUNIT DEVELOPMENT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Michelle Everett-Oxley
Title
President & Ceo
Phone
(718) 345-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

259 Bristol St
Brooklyn, NY 11212-5540

Mailing address

259 Bristol St
Brooklyn, NY 11212-5540
Phone (718) 345-5000

Other identifiers 2

IdentifierTypeStateIssuer
03045883MedicaidNY
00723253MedicaidNY

Other names 2

  • BMS at Bristol Doing business as
  • BMS-ISIS @ Bristol Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000101 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416903323 1 other NPI on this enrollment
Practice locations: Brooklyn, NY

Federally qualified health center certification: CCN 331958

Legal name
BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Doing business as
BMS ISIS @ BRISTOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 18, 2008
Last certification
Feb 18, 2008
Ownership / control type
Non-profit – church related
Organization structure
CorporationProprietary
Incorporated
Dec 1, 1974 in NY
Enrollment address
259 Bristol St
Brooklyn, NY 11212-5540

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Camille E Taylor8 organizations share this tax ID, including this one
Part of
Camille E Taylor

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa Kenner Individual Other Jan 1, 2010
Edmund Awuah Individual W-2 Managing EmployeeCfo May 1, 2006
Other May 1, 2006
Donald Matheson Individual Other Jan 1, 1995
Harvey Lawrence Individual 5% Or Greater Direct Ownership Interest Jan 1, 1996
Corporate Officer Jan 1, 1996
Mattie McBride Individual Other Jan 1, 2005
Michelle Coffey Individual Other Jan 1, 2008
Karen Benker Individual Other Jan 1, 2008
Maurice a Reid Individual Other Jan 1, 1994
Belinda Ruffin Individual Other Aug 1, 2009
Walter Campbell Individual Other Jan 1, 1984
Catherine Green Individual Other Sep 1, 2013
Yvonne Graham Individual Other Sep 1, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1851571392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 BRISTOL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125540",
            "telephone_number": "718-345-5000",
            "fax_number": "718-732-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BRISTOL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125540",
            "telephone_number": "718-345-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWNSVILLE COMMUNIT DEVELOPMENT CORPORATION",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "EVERETT-OXLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "718-345-5000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03045883",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00723253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMS at Bristol",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BMS-ISIS @ Bristol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.