Individual provider Active NPI

Dmitriy Bronfman, M.D.

  • Obstetrics Physician
  • Brooklyn, NY
National Provider Identifier
1811060643
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
217823 Issued in NY
Practice address
17 W End Ave
Brooklyn, NY 11235-4812
Phone
(718) 743-7877
Fax
(718) 743-4870
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 217823 NY
Obstetrics Physician 207VX0000X 217823 NY Primary

Addresses

Primary practice location

17 W End Ave
Brooklyn, NY 11235-4812

Mailing address

17 W End Ave
Brooklyn, NY 11235-4812
Phone (718) 743-7877

Other identifiers 1

IdentifierTypeStateIssuer
02272080MedicaidNY

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
I20031215000806 NY Practitioner - Obstetrics/Gynecology 5597662957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Gynecological Services PCGroup PAC ID 0648514554, 5 clinicians

Practice addresses (Care Compare)

1478 Victory Blvd
Suite 1
Staten Island, NY 10301-3901
Phone (718) 442-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
217823NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Women'S Medical Care, PC Gynecology CurrentSince Jun 19, 2023 Accepting new patients
Professional Gynecological Services, PC CurrentSince Oct 27, 2018 Accepting new patients
PBGS, LLC PastSince May 27, 2011 Accepting new patients

Locations

3047 Brighton 6th St
Ste 1
Brooklyn, NY 11235
Phone (718) 743-7877

142 Joralemon St
Ste 4CF
Brooklyn, NY 11201
Phone (718) 624-0604

81 Willoughby St
Ste 601
Brooklyn, NY 11201
Phone (718) 875-4848

14 DeKalb Ave
Fl 2
Brooklyn, NY 11201
Phone (718) 517-2244

142 Joralemon St
Ste 4C
Brooklyn, NY 11201
Phone (718) 517-2244

1478 Victory Blvd
Ste 1
Staten Island, NY 10301
Phone (718) 442-3434

1478 Victory Blvd
Ste 2
Staten Island, NY 10301

Interoperability endpoints

  • Direct secure messaging: dmb9027@direct.nyp.org
  • Direct secure messaging: dbrnfman@pgs.gwaydirect.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811060643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354812",
            "telephone_number": "718-743-7877",
            "fax_number": "718-743-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354812",
            "telephone_number": "718-743-7877",
            "fax_number": "718-743-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONFMAN",
        "first_name": "DMITRIY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "217823",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "217823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02272080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.