Individual provider Active NPI

Rudy Gehrman, D.C

  • Sports Physician Chiropractor
  • Brooklyn, NY
National Provider Identifier
1740372630
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X010420 Issued in NY
Practice address
163 Remsen St Apt 2F
Physiologic Chiro & Physical Therpy PLLC
Brooklyn, NY 11201-4313
Phone
(718) 260-1000
Fax
(718) 260-0072
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X X010420 NY Primary

Addresses

Primary practice location

163 Remsen St Apt 2F
Physiologic Chiro & Physical Therpy PLLC
Brooklyn, NY 11201-4313

Mailing address

163 Remsen St
Brooklyn, NY 11201-4313
Phone (718) 260-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091102000122 NY Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8022155720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
New York Chiropractic College, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Physiologic Chiropractic and Physical Therapy, PLLC.Group PAC ID 8527105345, 6 clinicians

Practice addresses (Care Compare)

409 Fulton St
Brooklyn, NY 11201-5103
Phone (718) 260-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010420NYMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physio-Logic Chiropractic & Physical Therapy PLLC CurrentSince Jun 26, 2009 Accepting new patients
Physiologic Chiropractic & Physical Therapy, PLLC Current Accepting new patients
Physio Logic Medicine, P.C. PastSince Aug 10, 2015 Accepting new patients

Locations

409 Fulton St
#2
Brooklyn, NY 11201
Phone (718) 260-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16096/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1740372630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014313",
            "telephone_number": "718-260-1000",
            "fax_number": "718-260-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 REMSEN ST APT 2F",
            "address_2": "PHYSIOLOGIC CHIRO & PHYSICAL THERPY PLLC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014313",
            "telephone_number": "718-260-1000",
            "fax_number": "718-260-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRMAN",
        "first_name": "RUDY",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X010420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.