Active NPI
Martin D Bruner, LCSW
- Clinical Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072671
- Practice address
- 259 Bristol St FL 3
Brooklyn, NY 11212-5540 - Phone
- (718) 345-5000
- Fax
- (718) 732-2548
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 072671 | NY | Primary |
Addresses
Primary practice location
259 Bristol St FL 3
Brooklyn, NY 11212-5540
Mailing address
592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone (718) 345-5000
Other practice location 1
1167 Nostrand Ave
Brooklyn, NY 11225-5417
Phone (718) 778-0198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
259 Bristol St
FL 3
Brooklyn, NY 11212-5540
Phone (718) 342-0060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072671 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownsville Community Development Corporation | Current | Accepting new patients | |
| Brownsville Community Development Corporation | Current | Accepting new patients | |
| Brownsville Community Development Corporation | Current | Accepting new patients |
Locations
259 Bristol St
Fl 3
Brooklyn, NY 11212
Phone (718) 342-0060
592 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 345-5000
650 Ashford St
Brooklyn, NY 11207
Phone (347) 505-1800
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- martin.bruner@chn.eclinicaldirectplus.com
- martin.bruner.1@13126.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1578612412
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1316681430
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1679916803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1790712289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 ROCKAWAY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125539",
"telephone_number": "718-345-5000",
"fax_number": "718-345-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 BRISTOL ST FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125540",
"telephone_number": "718-345-5000",
"fax_number": "718-732-2548"
}
],
"practiceLocations": [
{
"address_1": "1167 Nostrand Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112255417",
"country_code": "US",
"telephone_number": "718-778-0198",
"fax_number": "718-221-8169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNER",
"first_name": "MARTIN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.