Katherine Bruce, DO
Individual provider Active NPI General Practice Physician · New York, NY
NPI 1962080234 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1962080234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 324373 (NY)
- Practice address
- 1901 1St Ave
New York, NY 10029-7494 - Phone
- (212) 423-6684
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Medicine Physicians of New York PLLC
Practice addresses (Care Compare)
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000
Hospital & facility affiliations
- Queens Hospital Center
- Montefiore Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612001295 | NY | Practitioner - Emergency Medicine |
8022450915 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324373 | NY | MD | General Practice Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookview Medical Associates, PLLC | General Practice | Current |
Accepting new patients |
| Physicians Medical Associates New York PC | Current |
Accepting new patients | |
| Physician Affiliate Group of New York PC | Current |
Accepting new patients | |
| Physicians Medical Associates New York PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New York, PLLC | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kbruce@montefioredirect.com
- kbruce1618013@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 324373 | NY | Yes |
Addresses
Primary practice location
1901 1St Ave
New York, NY 10029-7494
Mailing address
1901 1St Ave
New York, NY 10029-7494
Other providers in New York, NY
- Amy Lebowitz Bruce
- Cayla McKernan Bruce
- Ewa Magdalena Bruce
- Haley Anne Bruce
- Jeffrey N Bruce
- Krystal Ann Bruce
- Maria Bruce
- Samuel Bruce
- Samuel Leigh Slusser Bruce
- Wendy Bruce
All providers in New York, NY · General Practice Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.