Individual provider Active NPI

Steven W Bruch, MD

  • Pediatric Surgery Physician
  • Ann Arbor, MI
National Provider Identifier
1013019330
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
4301080993 Issued in MI
Practice address
1500 East Medical Center Dr., 4TH Floor
C.S. Mott Children'S Hospital
Ann Arbor, MI 48109-4217
Phone
(734) 764-4151
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301080993 MI
Pediatric Surgery Physician 2086S0120X 4301080993 MI Primary

Addresses

Primary practice location

1500 East Medical Center Dr., 4TH Floor
C.S. Mott Children'S Hospital
Ann Arbor, MI 48109-4217

Mailing address

3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Other identifiers 1

IdentifierTypeStateIssuer
4451313MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040210000793 MI Practitioner - General SurgeryPractitioner - Pediatric Medicine 8820982929 Reassigns benefits to 3 organizations
I20040318000730 OH Practitioner - General SurgeryPractitioner - Pediatric Medicine 8820982929 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301080993MIMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Surgery CurrentSince Oct 22, 2002 Accepting new patients
Regents of the University of Michigan Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Children'S Surgical Associates, Corporation Pediatric Surgery CurrentSince Jul 1, 2023 Accepting new patients
Hurley Medical Center CurrentSince Sep 6, 2017 Accepting new patients
Northwest Pediatric Specialists, LLC CurrentSince Apr 18, 2023 Accepting new patients
Nationwide Children'S Hospital CurrentSince Sep 23, 2024 Accepting new patients
Nationwide Children'S Hospital CurrentSince Sep 23, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Regents of the University of Michigan CurrentSince Oct 22, 2002 Accepting new patients
Promedica Children'S Specialists Pediatric Surgery CurrentSince Aug 1, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Surgery CurrentSince Sep 1, 2021 Accepting new patients
St Joseph Mercy Hospital Surgery CurrentSince Sep 1, 2022 Accepting new patients
St Joseph Mercy Hospital CurrentSince Sep 1, 2022 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Hurley Medical Center Surgery CurrentSince Sep 6, 2017 Accepting new patients
Nationwide Children'S Hospital Toledo, LLC Past Accepting new patients
Regents of the University of Michigan Surgery Past Accepting new patients
Toledo Childrens Hospital Past Accepting new patients
Regents of the University of Michigan Pediatric Surgery Offsite Surgery Past Accepting new patients

Locations

3621 S State St
#700
Ann Arbor, MI 48108

1500 E Medical Center Dr
Fl 4
Ann Arbor, MI 48109
Phone (734) 763-9259

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

Dept 781629
Detroit, MI 48278

1125 S Linden Rd
Ste 100
Flint, MI 48532
Phone (810) 262-6555

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

5333 McAuley Dr
#R2110
Ypsilanti, MI 48197
Phone (734) 712-5523

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403

2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Ste 1800
Toledo, OH 43608
Phone (419) 251-4300

2213 Cherry St
Ste 302
Toledo, OH 43608
Phone (419) 321-4300

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2121 Hughes Dr
Ste 620
Toledo, OH 43606
Phone (419) 291-2126

Interoperability endpoints

  • Direct secure messaging: sbruch27003@direct.bsmhealth.org
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1013019330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR., 4TH FLOOR",
            "address_2": "C.S. MOTT CHILDREN'S HOSPITAL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094217",
            "telephone_number": "734-764-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCH",
        "first_name": "STEVEN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301080993",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MI",
            "license": "4301080993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4451313",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.