JENNIFER BROUTY PA – NPI #1245906619
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

JENNIFER BROUTY is a physician located in CARTHAGE, NY. NPPES has assigned the NPI number 1245906619 to JENNIFER BROUTY on August 17, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JENNIFER CANNAN. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Apr 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER BROUTY below.

NPI Profile for
JENNIFER BROUTY

NPI Number
1245906619
Enumeration Date

(about 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER BROUTY
Former Name: JENNIFER CANNAN
Credentials
PA
Primary location
22075 CONSTITUTION DRIVE
CARTHAGE, NY 13619
Phone: (315) 519-5830 Fax:
Mailing address
1001 WEST ST
CARTHAGE, NY 13619-9703
Phone: (315) 519-5724 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
NY 027038
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.