Brenda Jean Iannucci, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

196460-1 Issued in NY

Practice address

1880 Ridge Rd E
Suite 5
Rochester, NY 14622-2473

Phone

(585) 697-7775

Fax

(585) 697-7776

NPI assigned

Mar 24, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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 on East Ridge, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1306058433
  NPD (past) Authorized official
• Elder Medical Services PC

  • Geriatric Medicine (Family Medicine) Physician
  • Cheektowaga, NY
  • NPI 1740388719
  NPD (past)
• Ridgeplex Internal Medicine, PLLC

  • Specialist
  • Rochester, NY
  • NPI 1629244041
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922068840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 RIDGE RD E",
            "address_2": "SUITE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222473",
            "telephone_number": "585-697-7775",
            "fax_number": "585-697-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RIDGE RD E",
            "address_2": "SUITE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222473",
            "telephone_number": "585-697-7775",
            "fax_number": "585-697-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNUCCI",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "196460-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josef Ianni, MD
• Andrea Burge Iannoli, PA
• Pasquale Iannoli, M.D.
• Kathleen M Iannone, R.PH.
• Christopher Jay Iannopollo, NP
• Kathrynann Iannucci
• Amy Bezek Iannuzo
• Carly Ianuzzi, LCSW
• Kevin G. Ibach, M.D.
• Diana Holland Ibanez, ACNP-C

• Geriatric Medicine (Internal Medicine) Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.