Active NPI
Jerome M Brustein, MD
- Diagnostic Radiology Physician
- Binghamton, NY
National Provider Identifier
1932193752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 177218
- Practice address
- 169 Riverside Dr
Binghamton, NY 13905-4246 - Phone
- (607) 798-5223
- Fax
- (607) 798-6187
- NPI assigned
- Sep 8, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 177218 | NY | Primary |
Addresses
Primary practice location
169 Riverside Dr
Binghamton, NY 13905-4246
Mailing address
5 W State St
Binghamton, NY 13901-2322
Phone (607) 772-9462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01153391 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Past | Accepting new patients | |
| Twin Tier Pathology Associates, PC | Past | Accepting new patients | |
| Advanced Radiology Services, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Tier Orthopedic Associates, P.C. | Past | Accepting new patients | |
| Robert Packer Hospital | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Binghamton, NY
- NPI 1548253446
-
- Orthopaedic Surgery Physician
- Johnson City, NY
- NPI 1538182985
-
- Clinical Pathology/Laboratory Medicine Physician
- Binghamton, NY
- NPI 1770577470
-
- Family Medicine Physician
- Troy, PA
- NPI 1376592493
-
- General Acute Care Hospital
- Sayre, PA
- NPI 1083614382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932193752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 W STATE ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139012322",
"telephone_number": "607-772-9462",
"fax_number": "607-772-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 RIVERSIDE DR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054246",
"telephone_number": "607-798-5223",
"fax_number": "607-798-6187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSTEIN",
"first_name": "JEROME",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "177218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01153391",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.