Yeahseon Bruinings MD Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

226709 Issued in NY

Legal business name

YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC

Practice address

3438 Bell Blvd
PH Floor 5
Bayside, NY 11361-1730

Phone

(718) 360-5768

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yeahseon Choi Bruinings, M.D.NPI 1770580235

Title

Member , Physician

Phone

(718) 360-5768

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• yeahseon bruinings MD fam pract Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Yeahseon Choi Bruinings, MD

  • Family Medicine Physician
  • Bayside, NY
  • NPI 1770580235
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1669676466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 BELL BLVD",
            "address_2": "PH FLOOR 5",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611730",
            "telephone_number": "718-360-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 BELL BLVD",
            "address_2": "PH FLOOR 5",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611730",
            "telephone_number": "718-360-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "BRUININGS",
        "authorized_official_first_name": "YEAHSEON",
        "authorized_official_middle_name": "CHOI",
        "authorized_official_title_or_position": "MEMBER , PHYSICIAN",
        "authorized_official_telephone_number": "718-360-5768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02405338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yeahseon bruinings MD fam pract",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Li-Min Yang, M.D.
• Myongwoon Marilyn Yang, O.D.
• Lauren Yannucci, M.A., CCC-SLP
• Katiusca Yanza
• Yd Physical Therapy PC
• Lily C. Yen, PT
• Bonni Jeanne Marie Yenshaw, ENVIRONMENT SERVICES
• Joy Yim, OTR/L
• Yiqun Hui MD PLLC
• Da Rai Yoo

• Family Medicine Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.