Bruce Louis Radler, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N0023551 Issued in NY

Practice address

6416 17TH Ave
Brooklyn, NY 11204-2739

Phone

(718) 236-2821

Fax

(718) 236-1167

NPI assigned

Oct 16, 2006

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Goodland Medical P.C.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1881919710
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629158498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042739",
            "telephone_number": "718-236-2821",
            "fax_number": "718-236-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042739",
            "telephone_number": "718-236-2821",
            "fax_number": "718-236-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLER",
        "first_name": "BRUCE",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N0023551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN  HMO",
            "identifier": "38810",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00413314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "N0023551",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "P26231",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0058524",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology Services of New York, PC
• Radiology Today,P.C.
• Claudia Radist, PA
• Jenneate Radix-Grant, DDS
• Joseph L. Radix, DDS
• Teddy Rado, LCSW
• Lauren Radomski
• Elzbieta Radon, RN
• Abigail Radoncic, PHARMD
• Susan Radoux, 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 Jul 8, 2007; 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.