Active NPI
Bruin Neurophysiology, P.C.
- Clinical Neurophysiology Physician
- Conshohocken, PA
National Provider Identifier
1710364112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Soffer, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Neurology Physician | 2084N0400X | |||
| Clinical Neurophysiology Physician | 2084N0600X | Primary | ||
| Electroneurodiagnostic Specialist/Technologist | 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, DC
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1230 Rosecrans Ave
Ste 330
Manhattan Beach, CA 90266
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.
-
- Clinical Neurophysiology Physician
- Rancho Palos Verdes, CA
- NPI 1548898554
CA, Clinical Neurophysiology
-
- Clinical Neurophysiology Physician
- Pasadena, TX
- NPI 1366738866
Electrodiagnostic Medicine, TX
-
- Acute Care Nurse Practitioner
- Sun City, AZ
- NPI 1700368685
-
- Acute Care Nurse Practitioner
- Mesa, AZ
- NPI 1710575097
-
- Acute Care Nurse Practitioner
- Phoenix, AZ
- NPI 1033739081
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.