1174854129 NPI number — DR. BERVIN NELSON BRUAL DPT

Table of content: DR. BERVIN NELSON BRUAL DPT (NPI 1174854129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174854129 NPI number — DR. BERVIN NELSON BRUAL DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRUAL
Provider First Name:
BERVIN NELSON
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174854129
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 THAYER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIGHLAND MILLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10930-3016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-334-4105
Provider Business Mailing Address Fax Number:
888-599-7359

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
984 N BROADWAY STE L09
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10701-1318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-334-4105
Provider Business Practice Location Address Fax Number:
888-599-7359
Provider Enumeration Date:
01/14/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  030360 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)