Marcia Marie Edmond-Bucknor, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

249964 Issued in NY

Practice address

450 Clarkson Ave # 67
Brooklyn, NY 11203-2056

Phone

(718) 270-4096

Fax

(718) 270-2125

NPI assigned

Feb 6, 2009

Last updated

Feb 6, 2009By 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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

State University of Ny Upstate Medical University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Hospital of Brooklyn Suny Downstate Health Sciences UniversGroup PAC ID 7113318122, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: marciaedmond-bucknor@sunydmc.allscriptsdirect.net

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.

• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1396318986
  Medicare reassignment Care Compare group NPD
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  dba SUNY Parkside Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1528027414
  NPD
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1639179328
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1639179328
  Care Compare affiliation

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1871732339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE",
            "address_2": "BOX 67",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-270-4096",
            "fax_number": "718-270-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # 67",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-4096",
            "fax_number": "718-270-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMOND-BUCKNOR",
        "first_name": "MARCIA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "249964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Eileen Edison, MS.,SLP
• Samantha Edite
• Diana Edlina, PHARMD
• Donna M Edman
• Margaret Dinah Edme, LPN
• Brenda Edmond
• Genesis Edmond, MHC, BSW
• Kelynne J Edmond, GNP-BC
• Tanya Edmond, MS, OTRL
• Trudi-Kaye Edmond

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.

Verify at the official NPI Registry.