YURI BROSGOL MD NPI 1740276302

NPI Information

NPI: 1740276302
Provider Name: YURI BROSGOL, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
2459 E 27TH ST
BROOKLYN, NY
ZIP 11235
Phone: (469) 763-0549
Get Directions

Yuri Brosgol, MD is a neurology with special qualifications in child neurology psychiatry neurology in Brooklyn, NY. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Yuri Brosgol, MD NPI is 1740276302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2459 E 27TH ST
BROOKLYN, NY
ZIP 11235-003
Phone: (469) 763-0549
Fax: (718) 648-0407

The NPI 1740276302 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 1/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	197230	NEW YORK	No
2	2084N0400X	Psychiatry & Neurology	Neurology	197230	NEW YORK	No
3	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	197230	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01659329	MEDICAID	NEW YORK
2	180984801	OTHER	NEW YORK	UNITED HEALTHCARE
3	100180984501	OTHER	NEW YORK	AMERICHOICE BY UNITED HEA
4	291720102	OTHER	NEW YORK	HEALTH PLUS
5	96X701	OTHER	NEW YORK	EMPIRE BC/BS
6	1C4456	OTHER	NEW YORK	HEALTHNET
7	3444448	OTHER	NEW YORK	AETNA USHC HMO
8	BY7230	OTHER	NEW YORK	ATLANTIS HEALTH
9	5375627	OTHER	NEW YORK	AETNA PPO
10	32255P	OTHER	NEW YORK	HIP
11	P867555	OTHER	NEW YORK	OXFORD
12	197230-C15	OTHER	NEW YORK	HEALTHFIRST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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