Bervin Nelson Brual, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030360 Issued in NY

Practice address

6 Thayer Rd
Highland Mills, NY 10930-3016

Phone

(347) 334-4105

Fax

(888) 599-7359

NPI assigned

Jan 14, 2010

Last updated

Oct 22, 2024By the provider in NPPES

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• BNB Physical Therapy PLLC

  • Physical Therapist
  • Highland Mills, NY
  • NPI 1023822731
  Medicare reassignment NPD Authorized official
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment Care Compare group NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• Lafayette Medical Office, PC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1912004995

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1174854129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 THAYER RD",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109303016",
            "telephone_number": "347-334-4105",
            "fax_number": "888-599-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 THAYER RD",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109303016",
            "telephone_number": "347-334-4105",
            "fax_number": "888-599-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUAL",
        "first_name": "BERVIN NELSON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Marie Bompensiero, N.P.-C
• Elizabeth Borden
• Tetyana Boreesenko, DPM
• Natalia A Brandel, LMT
• Mariska Joy Browne, MS
• Elan Caruso
• Stefanie Lynn Cioffi, OTR
• Anthony Cirigliano III, LPN
• Gabriela Nora Cohen, MA ED.
• Jodi Beth Cohen, DPT

• Physical Therapist in Highland Mills, NY
• Providers in Highland Mills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.