Bruce H Hymanson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036057124 Issued in IL

Practice address

561 10TH Ave Apt 38a
New York, NY 10036-3062

Phone

(773) 919-3919

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972563229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 10TH AVE APT 38A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363062",
            "telephone_number": "773-919-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 10TH AVE APT 38A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363062",
            "telephone_number": "773-919-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMANSON",
        "first_name": "BRUCE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036057124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057124",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlo Hyman, L.M.S.W.
• Nicholas James Hyman, MD
• Noah J Hyman, PT
• Raphaela Hyman
• Sonia W. Hyman, M.D.
• Kennth Hymes, M.D.
• Paul Hymowitz, PH.D.
• Steve Hymowitz, LCSW
• Laura Arlena Hymson, RN
• Brandi Hyndman, LMSW

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.