MEDICARE: BP IMMEDIATE MEDICAL CARE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1205105004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BP IMMEDIATE MEDICAL CARE, PC

Provider Business Mailing Address
First Line	:	3808 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3610
Country	:	US
Telephone Number	:	718-972-2424
Fax Number	:	718-972-7070

Provider Business Practice Location Address
First Line	:	3808 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3610
Country	:	US
Telephone Number	:	212-257-2424
Fax Number	:	929-332-2565

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAMUEL WERZBERGER
Credential	:	MD
Telephone Number	:	718-972-2424

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	07/01/2025

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