Bruce Roy Greenbaum, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N004557 Issued in NY

Practice address

3000 Ocean Pkwy
Apt 2G
Brooklyn, NY 11235-8344

Phone

(718) 265-2600

Fax

(718) 265-0345

NPI assigned

Jun 1, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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

• Bruce R. Greenbaum DPM PC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1558309963

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official
• Select PT, OT & SLP Rehabilitation Ny PLLC

  • Rehabilitation Clinic/Center
  • Hudson, NY
  • NPI 1457026353
  Care Compare group

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1598767600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY",
            "address_2": "APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358344",
            "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": "APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358344",
            "telephone_number": "718-265-2600",
            "fax_number": "718-265-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "BRUCE",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01190069",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Lugene Green, PA-C
• Yisroel Green, DPT
• Zahava Green, M.A. CCC-SLP
• Zisl Green
• Elvie Greenaway
• Jamie Greenbaum
• Shlome Greenbaum
• Greenberg Mind & Mental Services LLC
• Greenberg Psychological Services, PLLC
• Aaron Saul Greenberg, M.D.

• Primary Podiatric Medicine Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.