Active NPI
Brent Evans Carlyle, MD
- Urology Physician
- Oneida, NY
National Provider Identifier
1982960969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 288249
- Practice address
- 357 Genesee St Ste 1
Oneida, NY 13421-2658 - Phone
- (315) 363-8862
- Fax
- (315) 363-3326
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 288249 | NY | Primary |
Addresses
Primary practice location
357 Genesee St Ste 1
Oneida, NY 13421-2658
Mailing address
357 Genesee Street, Suite 1
Oneida, NY 13421
Phone (315) 363-8862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0122476 | Medicaid | NY |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170622001679 | NY | Practitioner - Urology | 7618118878 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- State University of New York at Buffalo School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Associated Medical Professionals of Ny PLLC
Practice addresses (Care Compare)
357 Genesee St
Oneida, NY 13421-2658
Phone (315) 363-8862
Hospital & facility affiliations
- Oneida Health Hospital
- Rome Memorial Hospital, Inc
- Community Memorial Hospital, Inc
- Wynn Hospital
- Bassett Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288249 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Medical Professionals of Ny, PLLC | Urology | Current | Accepting new patients |
| Associated Medical Professionals of Ny, PLLC | Urology | Current | Accepting new patients |
| Rome Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370
357 Genesee St
Oneida, NY 13421
Phone (315) 363-8800
357 Genesee St
Ste 1
Oneida, NY 13421
Phone (315) 363-8862
107 E Chestnut St
Ste 102
Rome, NY 13440
Phone (315) 338-9200
1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226
Interoperability endpoints
- bcarlyle@ampofny.medentdirect.com
- bcarlyle@rmh.medalliesdirect.net
Organizations & group practices 3
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.
-
- Urology Physician
- Syracuse, NY
- NPI 1467659060
NY, Urology
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982960969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 GENESEE STREET, SUITE 1",
"city": "ONEIDA",
"state": "NY",
"postal_code": "13421",
"telephone_number": "315-363-8862",
"fax_number": "315-363-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 GENESEE ST STE 1",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134212658",
"telephone_number": "315-363-8862",
"fax_number": "315-363-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLYLE",
"first_name": "BRENT",
"middle_name": "EVANS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "288249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122476",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.