Individual provider Active NPI

Brett C Shulman, MD

  • Dermatology Physician
  • Rochester, NY
National Provider Identifier
1902841992
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
152624 Issued in NY
Practice address
20 Hagen Dr Ste 220
Rochester, NY 14625-2664
Phone
(585) 922-9770
Fax
(585) 922-9733
NPI assigned
Jun 17, 2006
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 152624 NY Primary
Dermatology Physician 207N00000X LT4168 NH
Dermatology Physician 207N00000X 70092 MN

Addresses

Primary practice location

20 Hagen Dr Ste 220
Rochester, NY 14625-2664

Mailing address

20 Hagen Dr Ste 220
Rochester, NY 14625-2664
Phone (585) 922-9770

Other practice location 1

2300 Southwood Drive
Dermatology
Nashua, NH 03063
Phone (603) 577-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NH, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20031118000166 NY Practitioner - Dermatology 7517871163 Reassigns benefits to 2 organizations
I20200123002756 NH Practitioner - Dermatology 7517871163 Reassigns benefits to 1 organization
I20240418000313 NM Practitioner - Dermatology 7517871163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York at Buffalo School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

1622 Galisteo St
Suite 100
Santa Fe, NM 87505-4774
Phone (505) 913-3380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions201
Removal or shaving of skin growth27
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital CurrentSince Mar 6, 2024 Accepting new patients
Rochester General Hospital CurrentSince Dec 1, 2009 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 1, 2012 Accepting new patients
Rochester General Hospital Dermatology CurrentSince Dec 1, 2009 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 27, 2020 Accepting new patients
St Vincent Hospital Current Accepting new patients
Newark Wayne Community Hospital CurrentSince May 1, 2012 Accepting new patients
St. Vincent Hospital Dermatology CurrentSince Mar 6, 2024 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

1622 Galisteo St
Ste 100
Santa Fe, NM 87505
Phone (505) 913-3380

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

77 Sullys Trl
Ste 100
Pittsford, NY 14534
Phone (585) 424-6210

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400

20 Hagen Dr
Ste 220
Rochester, NY 14625
Phone (585) 922-9770

1331 E Victor Rd
Victor, NY 14564
Phone (585) 498-2280

Interoperability endpoints

  • Direct secure messaging: bshulman353922@christushealth.direct-ci.net
  • Direct secure messaging: bshulman562664@direct.multicare.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1902841992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252664",
            "telephone_number": "585-922-9770",
            "fax_number": "585-922-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252664",
            "telephone_number": "585-922-9770",
            "fax_number": "585-922-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Southwood Drive",
            "address_2": "Dermatology",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "03063",
            "country_code": "US",
            "telephone_number": "603-577-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "BRETT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "152624",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "LT4168",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "70092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.