Bruce R. Greenbaum DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004557 Issued in NY

Legal business name

BRUCE R. GREENBAUM DPM PC

Practice address

3000 Ocean Pkwy
Suite 2G
Brooklyn, NY 11235-8367

Phone

(718) 265-2600

Fax

(718) 265-0345

NPI assigned

Jun 4, 2006

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Roy Greenbaum, DPMNPI 1598767600

Title

President

Phone

(719) 265-2600

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Roy Greenbaum, DPM

  • Primary Podiatric Medicine Podiatrist
  • Brooklyn, NY
  • NPI 1598767600
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1558309963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY",
            "address_2": "SUITE 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358367",
            "telephone_number": "718-265-2600",
            "fax_number": "718-265-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY",
            "address_2": "SUITE 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358367",
            "telephone_number": "718-265-2600",
            "fax_number": "718-265-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R. GREENBAUM DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-265-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01190069",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "WP8021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce E. Katz, MD, PC (Juva Skin & Laser Center)
• Bruce Friedlander DPM PC
• Bruce J Lish DDS PLLC
• Bruce L. Radler, D.P.M.,P.C.
• Bruce Lum Nathaniel Sasson LLP
• Bruce Zelvin, D.D.S., PLLC
• Roselind Kwaamah Bruce-Vanderpuije, FNP
• Angel Bruce
• Angela Bruce, PH.D, MA
• J Tyler Bruce, MD

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.