DR. BRUCE R BROWN (NPI# 1760514863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760514863 |
Entity Type | Individual |
Full Name | DR. BRUCE R BROWN |
Credential | DDS |
Practice Address |
14 Roosevelt Ave Port Jefferson Station NY 11776-3337 |
Practice Telephone | 6314764364 |
Practice Fax Number | 6314740998 |
Mailing Telephone | 6314764364 |
Mailing Fax Number | 6314740998 |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
031788 | NY | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336443910 | Bruce Kirkwood Brown Jr. | Counselor | 605 Nw 40th St, Oklahoma City, OK 73118-7043 | 2010-12-22 |
1699788869 | Bruce A Brown | Chiropractor | 4299 Sugarcreek Dr, Bellbrook, OH 45305-1330 | 2006-08-15 |
1205896362 | Bruce M Brown | Internal Medicine | 47 Sandwich Rd, Wareham, MA 02571-1627 | 2006-03-24 |
1841259413 | Bruce Wallace Brown | Internal Medicine | 2660 10th Ave S, #400, Birmingham, AL 35205-1624 | 2006-03-21 |
1558360768 | Bruce H Brown Jr. | Anesthesiology | 19636 N 27th Avenue, Suite 106, Phoenix, AZ 85022 | 2005-07-19 |
1760816649 | Bruce Wendell Brown | Pharmacist | 1806 S Minnesota Ave, Sioux Falls, SD 57105-2811 | 2013-08-27 |
1578751673 | Bruce Gerald Brown | Registered Nurse | 525 S Lake Ave, Suite 222, Duluth, MN 55802-2362 | 2007-10-15 |
1336344761 | Bruce Atkinson Brown | Social Worker | 3520 General Degaulle Dr, Suite 4030, New Orleans, LA 70114-6757 | 2007-06-16 |
1245448356 | Bruce A Brown | Counselor | 34 Patchen Rd, S Burlington, VT 05403-5704 | 2007-05-21 |
1467665828 | Bruce Mcdougall Brown | Counselor | 664 Main St, 46, Amherst, MA 01002-2439 | 2007-05-08 |
Street Address |
14 ROOSEVELT AVE |
City | PORT JEFFERSON STATION |
State | NY |
Zip Code | 11776-3337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
Find all providers in zip 11776 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
Find all providers with the same taxonomy |
City | PORT JEFFERSON STATION |
Zip Code | 11776 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.