Individual provider Active NPI

Bryan John Bruno, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1851447205
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
203615 Issued in NY
Practice address
280 Madison Ave
New York, NY 10016
Phone
(212) 717-4869
Fax
(917) 409-5405
NPI assigned
Jan 26, 2007
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 203615 NY Primary

Addresses

Primary practice location

280 Madison Ave
New York, NY 10016

Mailing address

280 Madison Ave RM 1102
New York, NY 10016-0817
Phone (212) 717-4869

Other practice location 1

280 Madison Ave
New York, NY 10016
Phone (212) 717-4869

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
I20080415000400 NY Practitioner - Psychiatry 3870671993 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

280 Madison Ave
RM 1102
New York, NY 10016-0817
Phone (212) 717-4869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203615NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid City TMS Psychiatric PLLC Psychiatry Past Accepting new patients
Park Lenox Medical, PC Past Accepting new patients
Park Lenox Psychiatry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bbruno48872@northwell.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1851447205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160817",
            "telephone_number": "212-717-4869",
            "fax_number": "917-409-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-717-4869",
            "fax_number": "917-409-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-717-4869",
            "fax_number": "917-409-5405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "BRYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "203615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.