BRUIN NEUROPHYSIOLOGY, P.C.
NPI 1710364112
Psychiatry & Neurology - Clinical Neurophysiology in Conshohocken, PA

Active since May 05, 2015
300 CONSHOHOCKEN STATE RD STE 450, CONSHOHOCKEN, PA 19428(484) 351-8459(484) 351-8810 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2026, Dec 8, 2025, May 8, 2025 and 2 more (5 updates tracked since 2020).

About Bruin Neurophysiology, P.c. NPPES

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

BRUIN NEUROPHYSIOLOGY, P.C. (NPI 1710364112) is a healthcare organization registered as a clinical neurophysiology in Conshohocken, Pennsylvania and active in the NPI registry since May 2015. The organization maintains a secondary practice location in Manhattan Beach and lists Robin Soffer, President, as its authorized official.

NPPES Registry Identity

NPI1710364112
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameBRUIN NEUROPHYSIOLOGY, P.C.
Location Address300 CONSHOHOCKEN STATE RD STE 450Conshohocken, PA 19428-3801
Mailing Address1141 N Loop 1604 E Ste 105-484San Antonio, TX 78232-1339 · (484) 351-8459 · Fax (484) 351-8810
Fax(484) 351-8810
Organization SubpartNo
Authorized OfficialRobin SofferPresident · (484) 351-8417
Enumeration DateMay 5, 2015
Last NPPES UpdateMay 20, 20265 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1710364112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
300 CONSHOHOCKEN STATE RD STE 450, Conshohocken, PA 19428

Secondary Practice Location 1

Location 11230 Rosecrans Ave Ste 330Manhattan Beach, CA 90266-2477 · Phone (484) 351-8459 · Fax (484) 351-8810

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruin Neurophysiology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bruin Neurophysiology, P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Neurology
NPI 1679004006
11009 LARKMEADE LN
Potomac, MD 20854
(484) 351-8459
✔ PECOS✔ Accepts Medicare122 mi
Physical Medicine and Rehabilitation
NPI 1366764771
13401 RAILWAY DR
Oklahoma City, OK 73114
(484) 351-8459
✔ PECOS✔ Accepts Medicare1,249 mi
Neurology
NPI 1366738866
4008 VISTA RD STE A100
Pasadena, TX 77504
(888) 824-1470
✔ PECOS1,333 mi
Neurology
NPI 1447437769
19582 BEACH BLVD STE 270
Huntington Beach, CA 92648
(714) 718-0988
✔ PECOS✔ Accepts Medicare2,382 mi
Neurology
NPI 1548898554
30051 GRANDPOINT LN
Rancho Palos Verdes, CA 90275
(484) 351-8459
✔ PECOS✔ Accepts Medicare2,398 mi
Neurology
NPI 1871712828
933 SHORELINE DR APT 406
Alameda, CA 94501
(510) 324-1990
✔ PECOS✔ Accepts Medicare2,506 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bruin Neurophysiology, P.C.'s NPI number?

The NPI number for Bruin Neurophysiology, P.C. is 1710364112. It was assigned to this organization in the NPPES registry on May 5, 2015.

Where is Bruin Neurophysiology, P.C. located?

Bruin Neurophysiology, P.C. is located at 300 Conshohocken State Rd Ste 450, Conshohocken, PA 19428. The listed phone number is (484) 351-8459.

What is Bruin Neurophysiology, P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Is Bruin Neurophysiology, P.C. enrolled in Medicare?

Yes. Bruin Neurophysiology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bruin Neurophysiology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Bruin Neurophysiology, P.C.. A 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 the clinician's services. The largest specialties are Neurology (5) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bruin Neurophysiology, P.C. was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.