Active NPI
Brian Alberto Martinez, RN
- Registered Nurse
- Brentwood, NY
National Provider Identifier
1982075248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 925368
- Practice address
- 137 Bergold St
Brentwood, NY 11717-5042 - Phone
- (631) 790-7468
- NPI assigned
- Oct 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 323713 | NY | |
| Registered Nurse | 163W00000X | 925368 | NY | Primary |
Addresses
Primary practice location
137 Bergold St
Brentwood, NY 11717-5042
Mailing address
137 Bergold St
Brentwood, NY 11717-5042
Phone (631) 790-7468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 925368 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1982075248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 BERGOLD ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175042",
"telephone_number": "631-790-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 BERGOLD ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175042",
"telephone_number": "631-790-7468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "BRIAN",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "323713",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "925368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.