Active NPI
Bruce Howard David, D.O.
- Psychiatry Physician
- East Meadow, NY
National Provider Identifier
1033171194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 179716-1
- Practice address
- 2201 Hempstead Tpke
East Meadow, NY 11554-1859 - Phone
- (516) 572-6511
- Fax
- (516) 572-3210
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 179716-1 | NY | Primary |
Addresses
Primary practice location
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Mailing address
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA73541 | Other | NY | MDNY |
| 179716-A13 | Other | NY | HEALTHFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179716-1 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033171194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 HEMPSTEAD TPKE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541859",
"telephone_number": "516-572-6511",
"fax_number": "516-572-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 HEMPSTEAD TPKE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541859",
"telephone_number": "516-572-6511",
"fax_number": "516-572-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "BRUCE",
"middle_name": "HOWARD",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "179716-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AA73541",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "179716-A13",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.