Individual provider Active NPI

Bruce Elliott Sobers Jr., DNP, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1821787730
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027875 Issued in PA
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

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
646878PAMDRegistered Nurse
NP500014235DCMDFamily Nurse Practitioner
RN324699GAMDFamily Nurse Practitioner
RN264698MDMDFamily Nurse Practitioner
F354602-01NYMDFamily Nurse Practitioner
SP027875PAMDFamily 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.

Verify at the official NPI Registry.