MR. BRUCE DOUGLAS OTR LICENSE
NPI 1023233558
Occupational Therapist in Brooklyn, NY
About Mr. Bruce Douglas Otr License NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRUCE DOUGLAS OTR LICENSE (NPI 1023233558) is an individual occupational therapist in Brooklyn, New York, licensed in New York (005500) and active in the NPI registry since April 2007. He is a graduate of State University Of New York Downstate Medical Center (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Bruce Douglas Otr License is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Bruce Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11203
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Douglas O T Services PC
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Douglas's NPI number?
The NPI number for Bruce Douglas is 1023233558. It was assigned to this individual provider in the NPPES registry on April 17, 2007.
Where is Bruce Douglas located?
Bruce Douglas practices at 4319 Church Ave, Brooklyn, NY 11203. The listed phone number is (718) 978-3186.
What is Bruce Douglas's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Bruce Douglas enrolled in Medicare?
Yes. Bruce Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bruce Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Douglas reassigns Medicare benefits to Douglas O T Services P.C. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bruce Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bruce Douglas was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.