BRIAN TRAUB MD
NPI 1790280428
General Practice in Bronx, NY

Q: What is Brian Traub's NPI number?

The NPI number for Brian Traub is 1790280428. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Brian Traub's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Traub was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 26, 2018PECOS Enrolled

1400 PELHAM PKWY S, BRONX, NY 10461(718) 696-2583(718) 881-5074 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2022, May 6, 2022, Mar 26, 2018 (3 updates tracked since 2018).

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About Brian Traub Md NPPES

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

BRIAN TRAUB MD (NPI 1790280428) is an individual general practice provider in Bronx, New York, licensed in New York (312942) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1790280428

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameBRIAN TRAUBCredential: MD

Location Address1400 PELHAM PKWY SBronx, NY 10461-1197

Mailing Address57 Duer LnStaten Island, NY 10301-3014

Phone(718) 696-2583

Fax(718) 881-5074

Sole ProprietorNo

Enumeration DateMarch 26, 2018

Last NPPES UpdateMay 12, 20223 updates tracked since enumeration

NPPES CertifiedMay 12, 2022

✔ NPI 1790280428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 312942

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 312942 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1400 PELHAM PKWY S, Bronx, NY 10461

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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 696-2583 · Fax (718) 696-2583

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Traub Md 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 20

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

CAROLYN COLE

Student in an Organized Health Care Education/Training Program

1400 PELHAM PKWY S
BRONX, NY 10461

Bronx County (718) 918-5820

RYAN JOHNY PHARM. D

Pharmacist

1400 PELHAM PKWY S
BRONX, NY 10461

Bronx County (718) 918-4557

DR. SARAH G JAMISON MD

Emergency Medicine

1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461

Bronx County (718) 918-5820

SWETHA PEDAVALLY M.D

Psychiatry & Neurology (Clinical Neurophysiology)

1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461

Bronx County (718) 918-7460

MS. ODESSA FYNN CM

Midwife

1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461

Bronx County (718) 918-3060

DR. PATRICK SPENCER EIBEN M.D.

Emergency Medicine

1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461

Bronx County (718) 918-5820

DR. ADAM JOSEPH GERSHON MD

Student in an Organized Health Care Education/Training Program

1400 PELHAM PKWY S
BRONX, NY 10461

Bronx County (718) 918-5000

EDIRICARDO RODRIGUEZ ORTIZ MD

Anesthesiology

1400 PELHAM PKWY S
BRONX, NY 10461

Bronx County (718) 918-5000

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 Traub's NPI number?

The NPI number for Brian Traub is 1790280428. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Brian Traub located?

Brian Traub practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 696-2583.

What is Brian Traub's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brian Traub enrolled in Medicare?

Yes. Brian Traub is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Traub was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.