Active NPI
TBHC Pediatric Services PC
- Pediatrics Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TBHC PEDIATRIC SERVICES PC
- Practice address
- 240 Willoughby St
Brooklyn, NY 11201-5465 - Phone
- (718) 250-6607
- Fax
- (718) 250-6850
- NPI assigned
- Jun 2, 2009
- Last updated
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Bromberg, MD
- Title
- Shareholder
- Phone
- (718) 250-6607
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Adolescent Medicine Physician | 2080A0000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | |||
| Pediatric Cardiology Physician | 2080P0202X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | |||
| Pediatric Endocrinology Physician | 2080P0205X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | |||
| Pediatric Hematology & Oncology Physician | 2080P0207X | |||
| Pediatric Infectious Diseases Physician | 2080P0208X | |||
| Pediatric Nephrology Physician | 2080P0210X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | |||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
240 Willoughby St
Brooklyn, NY 11201-5465
Mailing address
PO Box 13643
Philadelphia, PA 19101-3643
Phone (315) 446-3904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
121 DeKalb Ave
Fl 10
Brooklyn, NY 11201
121 DeKalb Ave
Ste Er
Brooklyn, NY 11201
121 DeKalb Ave
Ste Inpt
Brooklyn, NY 11201
2222 Church Ave
Brooklyn, NY 11226
Phone (718) 250-8205
771 61st St
Brooklyn, NY 11220
Phone (718) 851-2323
Practitioners & affiliated clinicians
Practitioners 57
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Critical Care Medicine Physician
- Brooklyn, NY
- NPI 1205912524
Pediatrics
-
- Pediatric Endocrinology Physician
- Patchogue, NY
- NPI 1164625745
-
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
- NPI 1235404559
Pediatric Gastroenterology
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1225614233
-
- Neurology with Special Qualifications in Child Neurology Physician
- Brooklyn, NY
- NPI 1932729696
-
- Pediatric Nurse Practitioner
- New Hyde Park, NY
- NPI 1578287710
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1578940607
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1497913842
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1467038968
-
- Pediatric Gastroenterology Physician
- Brooklyn, NY
- NPI 1043204068
-
- Neonatal-Perinatal Medicine Physician
- Brooklyn, NY
- NPI 1134519911
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1730279514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1861628091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13643",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191013643",
"telephone_number": "315-446-3904",
"fax_number": "315-362-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 WILLOUGHBY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015465",
"telephone_number": "718-250-6607",
"fax_number": "718-250-6850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TBHC PEDIATRIC SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-02",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "BROMBERG",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "SHAREHOLDER",
"authorized_official_telephone_number": "718-250-6607",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- TBHC Medical Services PC (TBHC Medical Services PC Cardiology)
- TBHC Medical Services PC (TBHC Medical Services PC Opc)
- TBHC Medical Services PC
- TBHC Medical Services PC
- TBHC Medical Testing Services PC
- TBHC Physician Services PC
- TBHC Physician Services PC
- TBHC Radiation Oncology PC
- TC Ambulance Corporation (MetroEMS)
- TC Dentistry PC (Dental Care of Brooklyn)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.