Organization Active NPI

Yuri Birbrayer Physician PC

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1376529032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
162525 Issued in NY
Legal business name
YURI BIRBRAYER PHYSICIAN PC
Practice address
1671 Sheepshead Bay Rd
Brooklyn, NY 11235-3804
Phone
(718) 946-8585
Fax
(718) 615-9662
NPI assigned
Dec 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yuri Birbrayer, M.D.NPI 1861478075
Title
Sole Proprieter
Phone
(718) 946-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 162525 NY Primary

Addresses

Primary practice location

1671 Sheepshead Bay Rd
Brooklyn, NY 11235-3804

Mailing address

35 Seacoast Ter
Suite 15W
Brooklyn, NY 11235-6040
Phone (718) 946-8585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376529032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SEACOAST TER",
            "address_2": "SUITE 15W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356040",
            "telephone_number": "718-946-8585",
            "fax_number": "718-615-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353804",
            "telephone_number": "718-946-8585",
            "fax_number": "718-615-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURI BIRBRAYER PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRBRAYER",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-946-8585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "162525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.