Active NPI
TBHC Pediatric Services PC
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1861628091
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
- 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 |
|---|---|---|---|---|
| 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 | |||
| Nurse Practitioner | 363L00000X |
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
Ste Er
Brooklyn, NY 11201
86 Saint Felix St
#6
Brooklyn, NY 11217
121 DeKalb Ave
Ste Inpt
Brooklyn, NY 11201
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.
-
- 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": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
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.