Glenn a Brottman MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

240287 Issued in NY

Legal business name

GLENN A BROTTMAN MD PC

Practice address

119 West 57TH Street
Suite 1101
New York, NY 10019

Phone

(212) 969-1899

Fax

(212) 969-1898

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Andrew Brottman, MD

Title

Owner

Phone

(212) 969-1899

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1104076165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WEST 57TH STREET",
            "address_2": "SUITE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-969-1899",
            "fax_number": "212-969-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEST 57TH STREET",
            "address_2": "SUITE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-969-1899",
            "fax_number": "212-969-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A BROTTMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "BROTTMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-969-1899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NY",
            "license": "240287",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "240287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Gleize, M.D.
• Ketsia Glemaud Saint-Fort, RN
• Glen Cove Radiologic Imaging LLC
• Glenbervie Health, LLC
• William Richard Glendon Jr., M.D.
• Glenn a Goldstein MD PC
• Glenn B. Weiss, D.P.M.
• Glenn F. Schwartz MD PC
• Glenn Goldfinger, PT
• Laura Glenn Hershey, R-PA

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.