Individual provider Active NPI

Bryan Matthew Elzholz, MD

  • Pain Medicine Physician
  • Bronx, NY
National Provider Identifier
1730113119
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
226364 Issued in NY
Practice address
2008 Eastchester Rd # Level2
Bronx, NY 10461-2252
Phone
(718) 794-0600
NPI assigned
Jul 10, 2006
Last updated
Feb 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 226364 NY Primary

Addresses

Primary practice location

2008 Eastchester Rd # Level2
Bronx, NY 10461-2252

Mailing address

2008 Eastchester Rd # Level2
Bronx, NY 10461-2252
Phone (718) 794-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061202000000 NY Practitioner - AnesthesiologyPractitioner - Pain Management 2062410954 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York Advanced Surgical Intervention Care, PLLC CurrentSince Oct 9, 2008 Accepting new patients
New York Spine & Sport Rehabilitation Medicine P.C. CurrentSince Jan 30, 2011 Accepting new patients
Prohealth Care Associates LLP Past Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients

Locations

1250 Waters Pl
Ste 710
Bronx, NY 10461
Phone (718) 684-5727

2008 Eastchester Rd
#2
Bronx, NY 10461
Phone (718) 794-0600

2008 Eastchester Rd
Ste A
Bronx, NY 10461
Phone (718) 794-0600

800 2nd Ave
Fl 9
New York, NY 10017
Phone (212) 539-0257

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1730113119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 EASTCHESTER RD # LEVEL2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612252",
            "telephone_number": "718-794-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 EASTCHESTER RD # LEVEL2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612252",
            "telephone_number": "718-794-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZHOLZ",
        "first_name": "BRYAN",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "226364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.