DR. BRUCE L REBOLD MD NPI 1215089313

NPI Information

  • NPI: 1215089313
  • Provider Name: DR. BRUCE L REBOLD, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 87 COLD SPRING RD
    SYOSSET, NY
    ZIP 11791
  • Phone: (516) 921-3168

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NPI Details

DR. Bruce L Rebold, MD is a gynecology obstetrics gynecology in Syosset, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Bruce L Rebold, MD NPI is 1215089313. 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:

87 COLD SPRING RD
SYOSSET, NY
ZIP 11791-109
Phone: (516) 921-3168

The enumeration date for this NPI number is 1/17/2007 and was last updated on 4/5/2012.

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
1207VX0000XObstetrics & GynecologyObstetrics136518NEW YORKNo
2207VG0400XObstetrics & GynecologyGynecology136518NEW YORKYes

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
1A63667MEDICARE UPINNEW YORK
266A981MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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: 11/21/2025

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