Active NPI
Bruno P Tolge, M.D.
- Specialist
- Schenectady, NY
National Provider Identifier
1740318286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 088151
- Practice address
- 1401 Union St
Schenectady, NY 12308-3009 - Phone
- (518) 381-9202
- Fax
- (518) 381-1182
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 088151 | NY | Primary |
Addresses
Primary practice location
1401 Union St
Schenectady, NY 12308-3009
Mailing address
1563 Union St
Schenectady, NY 12309-6022
Phone (518) 377-3742
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10002049 | Other | NY | CDPHP |
| 00373340 | Medicaid | NY | |
| 000413015005 | Other | NY | BS NENY PROVIDER # |
| 13106 | Other | NY | MVP PROVIDER # |
| 630N11 | Other | NY | EMPIRE BC PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088151 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schenectady Neurological Consultants, PC | Specialist | Past | Accepting new patients |
| Neurological Assoc of Neny PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Schenectady, NY
- NPI 1497857627
-
- Specialist
- Schenectady, NY
- NPI 1184847634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740318286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 UNION ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123096022",
"telephone_number": "518-377-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 UNION ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123083009",
"telephone_number": "518-381-9202",
"fax_number": "518-381-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLGE",
"first_name": "BRUNO",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "088151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002049",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00373340",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS NENY PROVIDER #",
"identifier": "000413015005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER #",
"identifier": "13106",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC PROVIDER #",
"identifier": "630N11",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.