Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMUEL MARK BROTKIN PHD
NPI 1538996830
Psychologist - Clinical Child & Adolescent in Durham, NC

Q: What is Samuel Brotkin's NPI number?

The NPI number for Samuel Brotkin is 1538996830. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Q: What is Samuel Brotkin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Brotkin was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since September 19, 2024PECOS Enrolled

3500 WESTGATE DR STE 900, DURHAM, NC 27707(516) 880-4536 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Sep 29, 2026, Sep 19, 2024 (3 updates tracked since 2024).

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About Dr. Samuel Mark Brotkin Phd NPPES

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

DR. SAMUEL MARK BROTKIN PHD (NPI 1538996830) is an individual clinical child & adolescent provider in Durham, North Carolina and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1538996830

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. SAMUEL MARK BROTKINCredential: PHD

Location Address3500 WESTGATE DR STE 900Durham, NC 27707-2534

Mailing Address3500 Westgate Dr Ste 900Durham, NC 27707-2534

Phone(516) 880-4536

Sole ProprietorNo

Enumeration DateSeptember 19, 2024

Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration

NPPES CertifiedOctober 8, 2026

✔ NPI 1538996830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License 6927 (NC)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0810008519 (VA)

3500 WESTGATE DR STE 900, Durham, NC 27707

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Secondary Practice Location 1

Location 1101 Manning DrChapel Hill, NC 27514-4220 · Phone (919) 966-7890

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Mark Brotkin Phd 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA ELIZABETH CRAIG PHD CLINICAL PSYCHOLOGIST

Clinic/Center (Adolescent and Children Mental Health)

3500 WESTGATE DR STE 900
DURHAM, NC 27707

Durham County (919) 891-3096

DR. KYLA MACHELL BLALOCK PHD

Psychologist (Clinical Child & Adolescent)

3500 WESTGATE DR STE 900
DURHAM, NC 27707

Durham County (919) 891-3096

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 Samuel Brotkin's NPI number?

The NPI number for Samuel Brotkin is 1538996830. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Samuel Brotkin located?

Samuel Brotkin practices at 3500 Westgate Dr Ste 900, Durham, NC 27707. The listed phone number is (516) 880-4536.

What is Samuel Brotkin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Samuel Brotkin enrolled in Medicare?

Yes. Samuel Brotkin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Brotkin was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.