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

Individual provider Physician Assistant · NPI 1124247937

Randall H. Brutus, PA is a Physician Assistant in Brooklyn, New York. Qualified in 2005, 21 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment.

Years since qualifying
21
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

506 6th St
Brooklyn, NY 11215-3609
Phone: (718) 780-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011137

Record details

NPI number1124247937
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing address506 6th St, Brooklyn, NY 11215-3609

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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