Active NPI
Steven W Bruch, MD
- Pediatric Surgery Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 4301080993
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4451313 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301080993 | MI | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Surgery | Current | 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 | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Northwest Pediatric Specialists, LLC | Current | Accepting new patients | |
| Nationwide Children'S Hospital | Current | Accepting new patients | |
| Nationwide Children'S Hospital | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Promedica Children'S Specialists | Pediatric Surgery | Current | Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Surgery | Current | Accepting new patients |
| St Joseph Mercy Hospital | Surgery | Current | Accepting new patients |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Hurley Medical Center | Surgery | Current | 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
- sbruch27003@direct.bsmhealth.org
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- 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.
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Otolaryngology Physician
- Ypsilanti, MI
- NPI 1659499705
-
- Pediatric Surgery Physician
- Columbus, OH
- NPI 1417905324
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Multi-Specialty Clinic/Center
- Columbus, OH
- NPI 1851179873
-
- Pediatrics Physician
- Toledo, OH
- NPI 1033709100
-
- Surgery Physician
- Flint, MI
- NPI 1659323384
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Pediatric Surgery Physician
- Ann Arbor, MI
- NPI 1811922974
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.