Bruce Richard Brotter, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRO30945-1 Issued in NY

Practice address

5 Magnolia Dr
Dobbs Ferry, NY 10522-3508

Phone

(914) 693-2190

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sarah Parad Rowen LCSW PLLC

  • Clinical Social Worker
  • White Plains, NY
  • NPI 1841826443
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1003906348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MAGNOLIA DR",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223508",
            "telephone_number": "914-693-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MAGNOLIA DR",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223508",
            "telephone_number": "914-693-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTTER",
        "first_name": "BRUCE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO30945-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bova
• Joseph Boyd, LMLSW
• Penelope Elise Brabham-Jones, LCSW
• Jaelyn Britton
• Richard Brodsky, D.C.
• Carolyn Brown-Blake
• Adam D Brown, PH., D
• Cynthia E Brown, MD
• Genneva Brown
• Theodor Howard Brown, DDS

• Clinical Social Worker in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.