Provider Demographics
NPI:1083778716
Name:BREGMAN, ZACHARY (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:BREGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 W 20TH ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3641
Mailing Address - Country:US
Mailing Address - Phone:212-505-6663
Mailing Address - Fax:212-505-9542
Practice Address - Street 1:121 W 20TH ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3641
Practice Address - Country:US
Practice Address - Phone:212-505-6663
Practice Address - Fax:212-505-9542
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151294207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NP952OtherOXFORD
008490OtherAETNA
2C7045OtherHEALTHNET
4257353OtherAETNA
133782328OtherCIGNA HEALTHCARE
07E301OtherEMPIRE BCBS
133782325OtherUNITED
133782328OtherCIGNA HEALTHCARE
4257353OtherAETNA