Active NPI
South Brooklyn Medical Practice, PC
- Obstetrics & Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1720301989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SOUTH BROOKLYN MEDICAL PRACTICE, PC
- Practice address
- 3047 Brighton 6TH St
Suite 2
Brooklyn, NY 11235-6409 - Phone
- (718) 743-7877
- Fax
- (718) 743-4870
- NPI assigned
- Mar 2, 2010
- 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
- Dr. Dmitriy Bronfman, MD
- Title
- Medical Director
- Phone
- (718) 743-7877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
3047 Brighton 6TH St
Suite 2
Brooklyn, NY 11235-6409
Mailing address
3047 Brighton 6TH St
Suite 2
Brooklyn, NY 11235-6409
Phone (718) 743-7877
National Provider Directory
National Provider DirectoryLocations
3047 Brighton 6th St
Ste 2
Brooklyn, NY 11235
Phone (718) 743-7877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267488000000",
"number": "1720301989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3047 BRIGHTON 6TH ST",
"address_2": "SUITE 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356409",
"telephone_number": "718-743-7877",
"fax_number": "718-743-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3047 BRIGHTON 6TH ST",
"address_2": "SUITE 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356409",
"telephone_number": "718-743-7877",
"fax_number": "718-743-4870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BROOKLYN MEDICAL PRACTICE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-02",
"last_updated": "2010-03-02",
"status": "A",
"authorized_official_last_name": "BRONFMAN",
"authorized_official_first_name": "DMITRIY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-743-7877",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- South Brooklyn Health Center
- South Brooklyn Home Physical Therapy PLLC
- South Brooklyn Medical Administrative Services, Inc.
- South Brooklyn Medical Care, PC
- South Brooklyn Medical PC
- South Brooklyn Nephrology Center Inc
- South Brooklyn Nephrology Center Inc
- South Brooklyn Pharma Corp
- South Brooklyn Psychological Services PLLC
- South Brooklyn Radiology PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.