Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Bruce Douglas, OTRLICENSE

Individual provider Occupational Therapist · NPI 1023233558

Mr. Bruce Douglas, OTRLICENSE is an Occupational Therapist in Private Practice in Brooklyn, New York. Graduated from State University of New York Downstate Medical Center in 1991, 35 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
35
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4319 Church Ave
Brooklyn, NY 11203-3101
Phone: (718) 978-3186
Fax: (718) 221-5530
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 005500 (NY)

Record details

NPI number1023233558
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRLICENSE
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESAugust 1, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Brooklyn