| Dr Bruce Alan Dorman, DPM | |
|
6134 188th St, Suite 203, Fresh Meadows, NY 11365-2726 | |
| (718) 454-4333 | |
| (718) 454-4823 |
| Full Name | Dr Bruce Alan Dorman |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 42 Years |
| Location | 6134 188th St, Fresh Meadows, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457353856 | NPI | - | NPPES |
| 0025415 | Other | NY | GHI |
| 00818933 | Medicaid | NY | |
| P38382 | Other | NY | BLUE CROSS |
| P559929 | Other | NY | OXFORD INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | NY003551 (New York) | Primary |
| 213E00000X | Podiatrist | 1495 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brookdale Hospital Medical Center | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lv Podiatry Pllc | 2567903818 | 3 |
| Brookdale Family Care Center, Inc | 7315833159 | 5 |
| Interfaith Professional Physician Services Pc | 9931378171 | 348 |
| Provider Name | The Brookdale Hospital Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
| Provider Name | Brookdale Family Care Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962459644 PECOS PAC ID: 7315833159 Enrollment ID: O20040226001107 |
| Provider Name | Urban Strategies Brookdale Family Care Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215984422 PECOS PAC ID: 7113818196 Enrollment ID: O20040320000658 |
| Provider Name | Interfaith Professional Physician Services Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
| Provider Name | Kingsbrook Medical Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104112838 PECOS PAC ID: 8729252028 Enrollment ID: O20111123000332 |
| Provider Name | Lv Podiatry Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801629845 PECOS PAC ID: 2567903818 Enrollment ID: O20240926001216 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Alan Dorman, DPM 30 Hightop Ln, Jericho, NY 11753-1719 Ph: (516) 938-2055 | Dr Bruce Alan Dorman, DPM 6134 188th St, Suite 203, Fresh Meadows, NY 11365-2726 Ph: (718) 454-4333 |
Mohammad Shigri, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 19460a 64th Ave Apt 2a, Fresh Meadows, NY 11365 Phone: 516-547-7769 | |
Dr. Michael H Loshigian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17926 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-380-7900 Fax: 718-380-7900 | |
Nyhmcq-ambulatory Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18219 Horace Harding Expy, Fresh Meadows, NY 11365 Phone: 719-670-2672 Fax: 516-437-4167 | |
Chengcheng Tu, Podiatrist Medicare: Medicare Enrolled Practice Location: 16216 Union Tpke Ste 306, Fresh Meadows, NY 11366 Phone: 718-380-7900 | |
Bradley Jay Marsh, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 182-19 Horace Harding Expressway, Fresh Meadows, NY 11365 Phone: 718-670-2672 Fax: 516-437-4167 | |
Michael H. Loshigian, Dpm, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 17926 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-380-7900 Fax: 718-380-5322 |