Active NPI
Bruce Elliott Sobers Jr., DNP, CRNP, FNP-BC
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1821787730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP027875
- Practice address
- 8201 State Rd
Philadelphia, PA 19136-2912 - Phone
- (215) 685-8622
- Fax
- (215) 685-9092
- NPI assigned
- May 5, 2023
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 646878 | PA | |
| Family Nurse Practitioner | 363LF0000X | F354602-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | RN264698 | MD | |
| Family Nurse Practitioner | 363LF0000X | NP500014235 | DC | |
| Family Nurse Practitioner | 363LF0000X | RN324699 | GA | |
| Family Nurse Practitioner | 363LF0000X | SP027875 | PA | Primary |
Addresses
Primary practice location
8201 State Rd
Philadelphia, PA 19136-2912
Mailing address
45 E City Ave # 1077
Bala Cynwyd, PA 19004-2421
Phone (267) 692-6953
Other practice location 1
45 E City Ave # 1077
Bala Cynwyd, PA 19004-2421
Phone (267) 692-6953
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 646878 | PA | MD | Registered Nurse |
| NP500014235 | DC | MD | Family Nurse Practitioner |
| RN324699 | GA | MD | Family Nurse Practitioner |
| RN264698 | MD | MD | Family Nurse Practitioner |
| F354602-01 | NY | MD | Family Nurse Practitioner |
| SP027875 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1821787730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E CITY AVE # 1077",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042421",
"telephone_number": "267-692-6953",
"fax_number": "267-787-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 STATE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362912",
"telephone_number": "215-685-8622",
"fax_number": "215-685-9092"
}
],
"practiceLocations": [
{
"address_1": "45 E City Ave # 1077",
"address_purpose": "LOCATION",
"city": "Bala Cynwyd",
"state": "PA",
"postal_code": "190042421",
"country_code": "US",
"telephone_number": "267-692-6953",
"fax_number": "267-787-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOBERS",
"first_name": "BRUCE",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DNP, CRNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "646878",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F354602-01",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "RN264698",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP500014235",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN324699",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP027875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.