Provider Demographics
NPI:1821040171
Name:DENNY, BRUCE EARL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:EARL
Last Name:DENNY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4802 10TH AVE
Mailing Address - Street 2:DEPT OF RADIOLOGY MAIMONIDES MED CTR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2916
Mailing Address - Country:US
Mailing Address - Phone:718-283-6158
Mailing Address - Fax:718-635-8411
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:DEPT OF RADIOLOGY MAIMONIDES MED CTR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:718-283-6158
Practice Address - Fax:718-635-8411
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-05-05
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Provider Licenses
StateLicense IDTaxonomies
NY191663-12085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01441083Medicaid
NY01441083Medicaid
NYBD066H7210Medicare PIN
NY66H72Medicare PIN