Active NPI
Brigid Mack, M.D.
- Family Medicine Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 249141
- Practice address
- 391 Myrtle Ave Ste 4a
Albany, NY 12208-3797 - Phone
- (518) 207-2273
- Fax
- (518) 207-2293
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 249141 | NY | Primary |
Addresses
Primary practice location
391 Myrtle Ave Ste 4a
Albany, NY 12208-3797
Mailing address
711 Troy Schenectady Rd
Suite 203
Latham, NY 12110-2442
Phone (518) 782-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03015689 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York at Buffalo School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700
711 Troy Schenectady Rd
Latham, NY 12110-2461
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- Albany Medical Center Hospital
- St Peter'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Family Medicine | Current | Accepting new patients |
| Upper Hudson Planned Parenthood Inc. | Current | Accepting new patients | |
| Planned Parenthood of Central and Western New York, Inc | Past | Accepting new patients | |
| Albany Medical Center Hospital | Past | Accepting new patients |
Locations
391 Myrtle Ave
Ste 4A
Albany, NY 12208
Phone (518) 202-2273
2 Clara Barton Dr
Ste 201
Albany, NY 12208
Phone (518) 207-2273
855 Central Ave
Albany, NY 12206
Phone (518) 434-5678
855 Central Ave
Ste 3
Albany, NY 12206
Phone (518) 434-5678
804 Columbia St
Hudson, NY 12534
Phone 5184345678 ext. 210
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 201
Latham, NY 12110
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
120 Hoosick St
Ste 12
Troy, NY 12180
Phone (518) 434-5678
Interoperability endpoints
- brigid.mack.p6@direct.usppny.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
Family Medicine
-
- Clinic/Center
- Albany, NY
- NPI 1881755601
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- Ambulatory Family Planning Facility
- Rochester, NY
- NPI 1306909957
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- Home Health Agency
- Troy, NY
- NPI 1114967924
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1861612814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD",
"address_2": "SUITE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102442",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 MYRTLE AVE STE 4A",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083797",
"telephone_number": "518-207-2273",
"fax_number": "518-207-2293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "BRIGID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "249141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03015689",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.