BRENT W SPEARS MD PC (NPI# 1326084302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326084302 |
| Entity Type | Organization |
| Organization Name | BRENT W SPEARS MD PC |
| Practice Address |
107 Berkshire Dr Farmingville NY 11738-2003 |
| Mailing Address |
Po Box 502 Springtown PA 18081-0502 |
| Practice Telephone | 6318348682 |
| Mailing Telephone | 6318348682 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | DR. BRENT W SPEARS (PRESIDENT) |
| Authorized Official Telephone | 6318348682 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASS MEDICAL LICENSE | 34309 | 01 |
| NY | SUBMITTER ID NUMBER | 017072 | 01 |
| NY | STATE LICENSE NUMBER | 147779 | 01 |
| Street Address |
107 BERKSHIRE DR |
| City | FARMINGVILLE |
| State | NY |
| Zip Code | 11738-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184673808 | Brent W Spears | Family Medicine | 107 Berkshire Dr, Farmingville, NY 11738-2003 | 2006-05-09 |
| 1962416222 | Barbara Jeanne Pinchera | Nurse Practitioner | 107 Berkshire Dr, Farmingville, NY 11738-2003 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696408 | Kimberly Barbara Mccleary | Registered Nurse | 56 Woodycrest Drive, Farmingville, NY 11738 | 2018-04-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1558882522 | Mili Biju | Registered Nurse | 400h Horseblock Road, Suite H, Farmingville, NY 11738 | 2017-06-29 |
| 1184083040 | Patrick O'reilly | Speech-Language Pathologist | 1 Mount Bear Ct, Farmingville, NY 11738 | 2016-02-19 |
| 1780055004 | Nicole Coscia | Specialist | 62 Roberta Ave, Farmingville, NY 11738 | 2015-10-13 |
| 1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
| 1952619165 | Shari Ann Pittaro | Occupational Therapy Assistant | 17 1st St, Farmingville, NY 11738 | 2010-09-22 |
| 1134377815 | Sylvia Sayer | Social Worker | 90 Bershire Drive, Farmingville, NY 11738 | 2008-09-05 |
| 1053590018 | Amy G Berk | Registered Nurse | 12 Columbus Ave, Farmingville, NY 11738 | 2007-10-26 |
| 1912069147 | Kathy Rey | Physician Assistant | 450 Clarkson Ave Box 49, Suny-downstate Medical Center, Brooklyn, NY 11738 | 2006-12-14 |
| Find all providers in zip 11738 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841223997 | Gail Fraser-farmer | Legal Medicine | 180 Granny Rd, Farmingville, NY 11738-2130 | 2006-07-09 |
| 1346273661 | Benjamin Farmer | Legal Medicine | 180 Granny Rd, Farmingville, NY 11738-2130 | 2006-07-09 |
| 1467485789 | The Farmer's Medical Group, PC | Legal Medicine | 180 Granny Rd, Farmingville, NY 11738-2130 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940288 | Jennifer Grossman | Legal Medicine | 1408 Myrtle Ave Apt 2, Brooklyn, NY 11237-4513 | 2020-04-08 |
| 1215566674 | Guy Regev | Legal Medicine | 192 E 5th St Apt 2b, Brooklyn, NY 11218-3465 | 2020-04-07 |
| 1427565571 | Da Medical Services, Pllc | Legal Medicine | 160 E 56th St Fl 4, New York, NY 10022-3609 | 2018-01-10 |
| 1659827285 | Digestive Care and Endoscopy, Pllc | Legal Medicine | 10816 72nd Avenue, 2nd Floor, Forest Hills, NY 11375-5656 | 2016-09-01 |
| 1245619030 | Ehab Hassanain Medical PC | Legal Medicine | 1930 85th St Apt 2, Brooklyn, NY 11214-3148 | 2015-05-26 |
| 1326434309 | Monelle Buissereth | Legal Medicine | 38 Locustwood Blvd, Elmont, NY 11003-1410 | 2015-04-07 |
| 1184015216 | Frank Babb Md P.C. | Legal Medicine | 870 Saint Nicholas Ave, A8, New York, NY 10032-5215 | 2015-02-11 |
| 1659783256 | Santha Mohan Md | Legal Medicine | 335 E 118th St, New York, NY 10035-4253 | 2014-05-30 |
| 1184034183 | Medical State of Queens | Legal Medicine | 8544 66th Rd, Rego Park, NY 11374-5212 | 2014-04-30 |
| 1588089809 | Cassandra Delly | Legal Medicine | 651 E 80th St, Brooklyn, NY 11236-3311 | 2014-02-24 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGVILLE |
| Zip Code | 11738 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.