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DR. BRUCE RICHARD BROTTER PHD
NPI 1003906348
Social Worker - Clinical in Dobbs Ferry, NY

Active since October 16, 2006Opted out of Medicare · through Jan 16, 2028
5 MAGNOLIA DR, DOBBS FERRY, NY 10522(914) 693-2190 Get Directions Write a Review

NPPES record last updated: December 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce Richard Brotter Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE RICHARD BROTTER PHD (NPI 1003906348) is an individual clinical provider in Dobbs Ferry, New York, licensed in New York (PRO30945-1) and active in the NPI registry since October 2006. He has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1003906348
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. BRUCE RICHARD BROTTERCredential: PHD
Location Address5 MAGNOLIA DRDobbs Ferry, NY 10522-3508
Mailing Address5 Magnolia DrDobbs Ferry, NY 10522-3508 · (914) 693-2190
Phone(914) 693-2190
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateDecember 30, 2008
✔ NPI 1003906348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · PRO30945-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5 MAGNOLIA DR, Dobbs Ferry, NY 10522
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Other Identifiers 2

Medicare ID-Type UnspecifiedN24651NY · Ny Medicare Provider #
Medicare PINN24651

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bruce Richard Brotter Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 16, 2024 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2024
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Bruce Brotter's NPI number?

The NPI number for Bruce Brotter is 1003906348. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Bruce Brotter located?

Bruce Brotter practices at 5 Magnolia Dr, Dobbs Ferry, NY 10522. The listed phone number is (914) 693-2190.

What is Bruce Brotter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Bruce Brotter enrolled in Medicare?

No. Bruce Brotter has opted out of Medicare through January 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bruce Brotter was last updated on December 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.