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BRUCE ROY GREENBAUM DPM, NPI 1598767600

Podiatrist in BROOKLYN, NY

Last Updated on : Oct 25,2007

About BRUCE ROY GREENBAUM (NPI 1598767600)


BRUCE ROY GREENBAUM is a Podiatrist provider in BROOKLYN, United States. His medical specialization is Podiatrist with a focus in Primary Podiatric Medicine.

1598767600 is NPI number of BRUCE ROY GREENBAUM.

BRUCE ROY GREENBAUM's primary taxonomy code based on NPI Lookup is 213EP1101X with license number N004557. This taxonomy code refers to Podiatrist.

BRUCE ROY GREENBAUM has more than 16 years of experience.

BRUCE ROY GREENBAUM current practice location address is 3000 OCEAN PKWY, BROOKLYN, NY. BRUCE ROY GREENBAUM can be reached out via phone at 718-265-2600 and via fax at 718-265-0345 .

You can also correspond with BRUCE ROY GREENBAUM through mail at mailing address 3000 OCEAN PKWY, BROOKLYN, NY, United States. Mailing address contact number is 718-265-2600.

The enumeration date of BRUCE ROY GREENBAUM is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1598767600 NPI Information

Name BRUCE ROY GREENBAUM
National Provider Id (NPI) 1598767600
Entity Type Individual
Gender M
Credential DPM
Practice Address 3000 OCEAN PKWY, APT 2G
BROOKLYN, NY, United States
Practice Telephone 718-265-2600
Practice Fax Number 718-265-0345
Mailing Address 3000 OCEAN PKWY , APT 2G
BROOKLYN, NY, United States
Mailing Telephone 718-265-2600
Mailing Fax Number 718-265-0345
Enumeration Date 01-Jun-2005
Last Updated Date 25-Oct-2007

BRUCE ROY GREENBAUM (NPI 1598767600) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 213EP1101X Podiatrist, Primary Podiatric Medicine N004557 NY

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
01190069 MEDICAID (05) NY
4582460001 MEDICARE NSC (07) NY
P51591 MEDICARE ID-Type Unspecified (04) NY
u18044 MEDICARE UPIN (02) NY

BRUCE ROY GREENBAUM (NPI 1598767600) Office Location

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FAQs

Whose NPI Number is 1598767600?

1598767600 is the NPI number of BRUCE ROY GREENBAUM.

What is the specialty for BRUCE ROY GREENBAUM?

The Specialty of BRUCE ROY GREENBAUM is Podiatrist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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