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BENJAMIN BERENDINUS BRUINS MD
NPI 1790943165
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since June 02, 2008PECOS Enrolled
3401 CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104(215) 590-1858(215) 590-1415 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2023, Aug 24, 2016 (2 updates tracked since 2016).

About Benjamin Berendinus Bruins Md NPPES

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

BENJAMIN BERENDINUS BRUINS MD (NPI 1790943165) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD436459) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790943165
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameBENJAMIN BERENDINUS BRUINSCredential: MD
Location Address3401 CIVIC CENTER BLVD, SUITE 9329Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Ste 9329Philadelphia, PA 19104-4319 · (267) 425-9300 · Fax (267) 425-9331
Phone(215) 590-1858
Fax(215) 590-1415
Sole ProprietorYes
Enumeration DateJune 2, 2008
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1790943165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MD436459
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MD436459 (PA)
Also ListedPediatricsTaxonomy 208000000X · License PENDING (NJ)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Berendinus Bruins 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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Benjamin Bruins's NPI number?

The NPI number for Benjamin Bruins is 1790943165. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Benjamin Bruins located?

Benjamin Bruins practices at 3401 Civic Center Blvd Suite 9329, Philadelphia, PA 19104. The listed phone number is (215) 590-1858.

What is Benjamin Bruins's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Benjamin Bruins enrolled in Medicare?

Yes. Benjamin Bruins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Bruins was last updated on June 1, 2023. 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.