Bradley G Bute, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

200926 Issued in NY

Practice address

510 Broadhollow Rd Ste 307
Melville, NY 11747-3606

Phone

(631) 756-2888

Fax

(631) 756-2880

NPI assigned

Jun 28, 2006

Last updated

Jan 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradleybute@imppllc.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.

• North Shore Medical Group of the Mount Sinai School of Medicine

  dba Mount Sinai Doctors Long Island

  • Internal Medicine Physician
  • Greenlawn, NY
  • NPI 1275640609
  Medicare reassignment NPD
• Advanced Colon and Rectal Surgery LLC

  • Colon & Rectal Surgery Physician
  • Melville, NY
  • NPI 1710023031
  Authorized official Same address or phone
• Advanced Colon and Rectal Surgery, PC

  • Medical Specialty Clinic/Center
  • Melville, NY
  • NPI 1447498209
  Authorized official Same address or phone
• North Shore Medical Group of the Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Wantagh, NY
  • NPI 1992417323
  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1922035336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW RD STE 307",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473606",
            "telephone_number": "631-756-2888",
            "fax_number": "631-756-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW RD STE 307",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473606",
            "telephone_number": "631-756-2888",
            "fax_number": "631-756-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTE",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "200926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margelina Burns
• Patricia R. Burris-Warmoth, M.D.
• Danaija D Burton
• Christy A Bush, LCSW
• Christian Bustamante
• Jenetta Butler
• Regina Butler
• Michael James Byrne, SW
• Giselle Erizette Byrnes, RN
• Samantha Nicole Cabitac

• Colon & Rectal Surgery Physician in Melville, NY
• Providers in Melville, NY by specialty
• Colon & Rectal Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.