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DR. PHILIP BRUDER M.D.
NPI 1639145519
Dermatology in New York, NY

Active since February 28, 2006Opted out of Medicare · through Jan 27, 2028
245 E 63RD ST, 107, NEW YORK, NY 10021(212) 980-9292(212) 752-0674 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 3, 2019, Jul 16, 2018 (2 updates tracked since 2018).

About Dr. Philip Bruder M.d. NPPES

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

DR. PHILIP BRUDER M.D. (NPI 1639145519) is an individual dermatology provider in New York, New York, licensed in New York (176170) and active in the NPI registry since February 2006. He has opted out of Medicare through January 27, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639145519
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PHILIP BRUDERCredential: M.D.
Location Address245 E 63RD ST, 107New York, NY 10021
Mailing Address1930 Broadway, 23fNy, NY 10023-6945 · (212) 980-9292 · Fax (212) 752-0674
Phone(212) 980-9292
Fax(212) 752-0674
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration
✔ NPI 1639145519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 176170
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedSpecialistTaxonomy 174400000X · License 176170-1 (NY)
245 E 63RD ST, New York, NY 10021
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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. Philip Bruder M.d. 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 27, 2020 through January 27, 2028.

Opt-Out Effective DateJanuary 27, 2020
Opt-Out In Effect ThroughJanuary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

PHILIP BRUDER MD, PC
Dermatology
245 E 63RD ST, SUITE 107
NEW YORK, NY 10021
New York County (212) 980-9292
DR. CHARLES RICHARD LIPTON D.M.D.
Dentist (General Practice)
245 E 63RD ST, SUITE 110
NEW YORK, NY 10021
New York County (212) 838-6226
DR. HERBERT CHARLES ORLANSKY DDS
Dentist
245 E 63RD ST, SUITE 110
NEW YORK, NY 10021
New York County (212) 838-6226
SUSAN ESTHER BINDER M.D
Dermatology
245 E 63RD ST, SUITE 107
NEW YORK, NY 10021
New York County (212) 980-9292

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 Philip Bruder's NPI number?

The NPI number for Philip Bruder is 1639145519. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Philip Bruder located?

Philip Bruder practices at 245 E 63rd St 107, New York, NY 10021. The listed phone number is (212) 980-9292.

What is Philip Bruder's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Philip Bruder enrolled in Medicare?

No. Philip Bruder has opted out of Medicare through January 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Philip Bruder was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.