BRIAN DOUGHERTY MD
NPI 1003481060
Student in an Organized Health Care Education/Training Program in New York, NY
About Brian Dougherty Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN DOUGHERTY MD (NPI 1003481060) is an individual student in an organized health care education/training program in New York, New York, licensed in New York (328131) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brian Dougherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brian Dougherty's NPI number?
The NPI number for Brian Dougherty is 1003481060. It was assigned to this individual provider in the NPPES registry on May 23, 2021.
Where is Brian Dougherty located?
Brian Dougherty practices at 550 1st Ave, New York, NY 10016. The listed phone number is (646) 929-7870.
What is Brian Dougherty's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Brian Dougherty enrolled in Medicare?
Yes. Brian Dougherty is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brian Dougherty was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brian Dougherty, MD · NPI 1003481060
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since May 23, 2021.
## Identity
- **NPI:** 1003481060 (Entity type: Individual)
- **Enumerated:** May 23, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 328131 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 1ST AVE, New York, NY 10016-6402
- **Phone:** (646) 929-7870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** February 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003481060) · Data from the CMS NPPES public registry.