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DR. BRIAN PETTITT MD
NPI 1700366978
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since August 17, 2018
1250 WATERS PL, BRONX, NY 10461(718) 920-4800 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 14, 2022, Aug 17, 2018 (2 updates tracked since 2018).

About Dr. Brian Pettitt Md NPPES

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

DR. BRIAN PETTITT MD (NPI 1700366978) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1700366978
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRIAN PETTITTCredential: MD
Location Address1250 WATERS PLBronx, NY 10461-2720
Mailing Address112 E 103rd St Apt 25New York, NY 10029-5318 · (404) 518-4679
Phone(718) 920-4800
Sole ProprietorNo
Enumeration DateAugust 17, 2018
Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1700366978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1250 WATERS PL, Bronx, NY 10461
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Other Providers at the Same Location NPPES 20

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

DR. LYDIA RABINOWICH M.D.
Psychiatry & Neurology (Neurology)
1250 WATERS PL, SUITE 1203
BRONX, NY 10461
Bronx County (718) 409-4044
MIRA CHANOWITZ DPT
Physical Therapist
1250 WATERS PL
BRONX, NY 10461
Bronx County (718) 409-9444
DR. CECILIA YAQIAN ZHANG PHARMD
Pharmacist
1250 WATERS PL, TOWER 1, SUITE 602
BRONX, NY 10461
Bronx County (718) 239-1492
CENTERLIGHT DIAGNOSTIC AND TREATMENT CENTER, INC.
Clinic/Center
1250 WATERS PL, TOWER 1 SUITE 602
BRONX, NY 10461
Bronx County (347) 640-6050
MS. DENISE A FORBES FNP
Nurse Practitioner (Family)
1250 WATERS PL
BRONX, NY 10461
Bronx County (929) 263-3828
MIRZA BAIG PT
Physical Therapist
1250 WATERS PL
BRONX, NY 10461
Bronx County (718) 430-9313
DR. DAVID M.S. SHEIN M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1250 WATERS PL, SUITE 903
BRONX, NY 10461
Bronx County (718) 450-9955
CECILIA ANN MARTIN
Registered Nurse (Ambulatory Care)
1250 WATERS PL
BRONX, NY 10461
Bronx County (929) 263-3302

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 Brian Pettitt's NPI number?

The NPI number for Brian Pettitt is 1700366978. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Where is Brian Pettitt located?

Brian Pettitt practices at 1250 Waters Pl, Bronx, NY 10461. The listed phone number is (718) 920-4800.

What is Brian Pettitt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brian Pettitt was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.