Active NPI
Bryan Matthew Elzholz, MD
- Pain Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 226364
- Practice address
- 2008 Eastchester Rd # Level2
Bronx, NY 10461-2252 - Phone
- (718) 794-0600
- NPI assigned
- Jul 10, 2006
- Last updated
- Feb 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Advanced Surgical Intervention Care, PLLC | Current | Accepting new patients | |
| New York Spine & Sport Rehabilitation Medicine P.C. | Current | 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.
-
- Pain Clinic/Center
- Bronx, NY
- NPI 1457537227
-
- Specialist
- Bronx, NY
- NPI 1942423579
-
- Internal Medicine Physician
- Lake Success, NY
- NPI 1275596280
-
- Physical Therapist
- Carmel, NY
- NPI 1508324898
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.