Individual provider Active NPI

Bruno P Tolge, M.D.

  • Specialist
  • Schenectady, NY
National Provider Identifier
1740318286
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
088151 Issued in NY
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10002049OtherNYCDPHP
00373340MedicaidNY
000413015005OtherNYBS NENY PROVIDER #
13106OtherNYMVP PROVIDER #
630N11OtherNYEMPIRE 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

LicenseStateTypeSpecialty
088151NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady Neurological Consultants, PC Specialist PastSince Oct 1, 2005 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.

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.

Verify at the official NPI Registry.