Healthcare Provider Details
I. General information
NPI: 1407765498
Provider Name (Legal Business Name): BP IMMEDIATE MEDICAL CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
735 BEDFORD AVE
BROOKLYN NY
11205-1507
US
IV. Provider business mailing address
320 ROEBLING ST. SUITE #120
BROOKLYN NY
11211-4206
US
V. Phone/Fax
- Phone: 201-688-2424
- Fax:
- Phone: 201-688-2424
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMUEL
WERZBERGER
Title or Position: PRESIDENT
Credential: MD
Phone: 201-688-2424