Bruce Earl Denny, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Brooklyn, NY
NPI 1821040171 · NPPES record last updated May 5, 2014
Key facts
- NPI
- 1821040171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 191663-1 (NY)
- Practice address
- 4802 10TH Ave
Dept of Radiology Maimonides Med Ctr
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6158
- Fax
- (718) 635-8411
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191663-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Radiology Imaging Assocates of Brooklyn, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Interoperability endpoints
- brucedenny@mai.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 191663-1 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 191663-1 | NY | Yes |
Addresses
Primary practice location
4802 10TH Ave
Dept of Radiology Maimonides Med Ctr
Brooklyn, NY 11219-2916
Mailing address
4802 10TH Ave
Dept of Radiology Maimonides Med Ctr
Brooklyn, NY 11219-2916
Phone (718) 283-6158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01441083 | Medicaid | NY |
Other providers in Brooklyn, NY
- Nicole Dennis
- Rosemarie S Dennis
- Stephanie M Dennis
- Brittany Lauren Denniston
- Shonnette Denny-Lewis
- Ian A Denny
- Kara Nicole Denny
- Renee Denobrega
- Sara Denoma
- Denquest Service Corporation
All providers in Brooklyn, NY · Diagnostic Radiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.