Individual provider Active NPI

Brigette Smith, RPA-C

  • Urology Physician
  • Rochester, NY
National Provider Identifier
1932284569
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
009396 Issued in NY
Practice address
2615 Culver Road
Suite 100
Rochester, NY 14609
Phone
(585) 336-5320
Fax
(585) 336-9114
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 009396 NY
Urology Physician 208800000X 009396 NY Primary

Addresses

Primary practice location

2615 Culver Road
Suite 100
Rochester, NY 14609

Mailing address

2420 Ridgeway Avenue
Rochester, NY 14626
Phone (585) 227-4000

Other practice location 1

220 Linden Oaks Ste 100
Rochester, NY 14625-2839
Phone (585) 248-2019

Other identifiers 1

IdentifierTypeStateIssuer
03057201MedicaidNY

Other names 1

  • Mrs. Brigette Slomovic Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000559 NY Practitioner - Physician Assistant 2062402936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009396NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice, P.C. CurrentSince Jan 1, 2017 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 1, 2017 Accepting new patients
Rochester General Hospital CurrentSince Nov 1, 2019 Accepting new patients

Locations

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

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

220 Linden Oaks
Ste 100
Rochester, NY 14625
Phone (585) 248-2019

2420 Ridgeway Ave
Rochester, NY 14626
Phone (585) 227-4000

2615 Culver Rd
Ste 100
Rochester, NY 14609
Phone (585) 336-5320

Interoperability endpoints

  • Direct secure messaging: bsmith@cfu.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1932284569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 RIDGEWAY AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-227-4000",
            "fax_number": "585-227-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CULVER ROAD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14609",
            "telephone_number": "585-336-5320",
            "fax_number": "585-336-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Linden Oaks Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252839",
            "country_code": "US",
            "telephone_number": "585-248-2019",
            "fax_number": "585-586-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIGETTE",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009396",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "009396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03057201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIGETTE",
            "last_name": "SLOMOVIC",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.