DR. BRETT EMERSON FORTUNE M.D. NPI 1720121585

NPI Information

NPI: 1720121585
Provider Name: DR. BRETT EMERSON FORTUNE, M.D.
Classification: Internal Medicine - 207RI0008X
Entity Type: Individual

Specialization: Hepatology

Organization: STAMFORD HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1305 YORK AVE FL 4
NEW YORK, NY
ZIP 10021
Phone: (646) 962-5483
Get Directions

DR. Brett Emerson Fortune, M.D. is a hepatology internal medicine in New York, NY with 20 years of experience. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. DR. Brett Emerson Fortune, M.D. NPI is 1720121585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1305 YORK AVE FL 4
NEW YORK, NY
ZIP 10021-663
Phone: (646) 962-5483
Fax: (646) 962-0363

The NPI 1720121585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		35088963	OHIO	No
2	207RG0100X	Internal Medicine	Gastroenterology	051154	CONNECTICUT	No
3	207RI0008X	Internal Medicine	Hepatology	283730	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2729917	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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