NPIMap

Organization Active NPI

Bruin Neurophysiology, P.C.

  • Clinical Neurophysiology Physician
  • Conshohocken, PA
National Provider Identifier
1710364112
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
BRUIN NEUROPHYSIOLOGY, P.C.
Practice address
300 Conshohocken State Rd Ste 450
Conshohocken, PA 19428-3801
Phone
(484) 351-8459
Fax
(484) 351-8810
NPI assigned
May 5, 2015
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Robin Soffer, M.D.NPI 1871712828
Title
President
Phone
(484) 351-8417

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X Primary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X

Addresses

Primary practice location

300 Conshohocken State Rd Ste 450
Conshohocken, PA 19428-3801

Mailing address

1141 N Loop 1604 E Ste 105-484
San Antonio, TX 78232-1339
Phone (484) 351-8459

Other practice location 1

1230 Rosecrans Ave Ste 330
Manhattan Beach, CA 90266-2477
Phone (484) 351-8459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160128000739 TX Part B Supplier - Clinic/Group Practice 4486963279 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX
O20160908002306 CA Part B Supplier - Clinic/Group Practice 4486963279 Receives reassigned benefits from 3 practitioners
Practice locations: Alameda, CA; Huntington Beach, CA; Rancho Palos Verdes, CA
O20231005000314 DC Part B Supplier - Clinic/Group Practice 4486963279 Receives reassigned benefits from 1 practitioner
Practice locations: Potomac, MD

National Provider Directory

National Provider Directory

Locations

1230 Rosecrans Ave
Ste 330
Manhattan Beach, CA 90266

1660 S Albion St
Ste 425
Denver, CO 80222
Phone (303) 578-2114

701 Shadow Ln
Ste 170
Las Vegas, NV 89106
Phone (702) 254-7634

800 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 463-6929

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1710364112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N LOOP 1604 E STE 105-484",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339",
            "telephone_number": "484-351-8459",
            "fax_number": "484-351-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONSHOHOCKEN STATE RD STE 450",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194283801",
            "telephone_number": "484-351-8459",
            "fax_number": "484-351-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Rosecrans Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662477",
            "country_code": "US",
            "telephone_number": "484-351-8459",
            "fax_number": "484-351-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRUIN NEUROPHYSIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "SOFFER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-351-8417",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.