BRUCE LOGAN MD
NPI 1003966557
Internal Medicine in New York, NY

Q: What is Bruce Logan's NPI number?

The NPI number for Bruce Logan is 1003966557. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Bruce Logan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Logan was last updated on October 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2007PECOS Enrolled

170 WILLIAM ST, FL 7, NEW YORK, NY 10038(212) 312-5000 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bruce Logan Md NPPES

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

BRUCE LOGAN MD (NPI 1003966557) is an individual internal medicine provider in New York, New York, licensed in New York (123160) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003966557

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBRUCE LOGANCredential: MD

Location Address170 WILLIAM ST, FL 7New York, NY 10038-2612

Mailing Address170 William St, Fl 7New York, NY 10038-2612

Phone(212) 312-5000

Sole ProprietorYes

Enumeration DateJanuary 10, 2007

Last NPPES UpdateOctober 15, 2013

✔ NPI 1003966557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 123160

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

170 WILLIAM ST, New York, NY 10038

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Other Identifiers 3

Medicare PIN39A391NY

Other123160NY · License

Medicare UPINC09536

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce Logan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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