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DR. LISA D. BRABHAM MD
NPI 1063455293
Obstetrics & Gynecology in Brooklyn, NY

Active since June 14, 2006PECOS Enrolled
760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206(718) 963-8000 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa D. Brabham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA D. BRABHAM MD (NPI 1063455293) is an individual obstetrics & gynecology provider in Brooklyn, New York, licensed in New York (206007) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063455293
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. LISA D. BRABHAMCredential: MD
Location Address760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTERBrooklyn, NY 11206
Mailing Address760 Broadway Department Of Managed Care Room 2b230, Woodhull Medical & Mental Health CenterBrooklyn, NY 11206 · (718) 963-8000 · Fax (718) 630-3122
Phone(718) 963-8000
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 18, 2014
✔ NPI 1063455293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 206007
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
760 BROADWAY, Brooklyn, NY 11206
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Other Identifiers 3

Medicare ID-Type Unspecified32X801NY
Medicare UPING59504
Medicaid01772898NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa D. Brabham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Brabham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
Same address
Clinic/Center
BROADWAY COMMUNITY CENTER OF EXCELLENCE, 815 BROADWAY
Brooklyn, NY 11206
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1922736727 (646) 614-8265

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Brabham's NPI number?

The NPI number for Lisa Brabham is 1063455293. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Lisa Brabham located?

Lisa Brabham practices at 760 Broadway Woodhull Medical & Mental Health Center, Brooklyn, NY 11206. The listed phone number is (718) 963-8000.

What is Lisa Brabham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lisa Brabham enrolled in Medicare?

Yes. Lisa Brabham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Brabham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Brabham reassigns Medicare benefits to New York City Health And Hospitals Corporation (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Brabham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Brabham was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.